Possible Causes for Delayed Gastric Emptying Autoimmune Gastritis OBJECTIVES: Patients with autoimmune gastritis may have symptoms suggestive of delayed gastric emptying. [ncbi.nlm.nih.gov] […] affect delayed gastric emptying. [ncbi.nlm.nih.gov] Total autonomic score of patients (n = 60) with delayed gastric emptying was significantly higher than patients (n = 15) with normal gastric emptying (4.68 ± 1.7 vs. 1.53 [ncbi.nlm.nih.gov] Diabetic Autonomic Neuropathy Abstract Delayed gastric emptying secondary to diabetic autonomic neuropathy (DAN) is a recognized risk factor for aspiration pneumonitis. [ncbi.nlm.nih.gov] Gastroenterological investigations showed delayed gastric emptying. RR ratio (respiration and standing) was abnormal. Resolution occurred after two years. [ncbi.nlm.nih.gov] GENERAL ARTICLE: PDF Only Abstract Delayed gastric emptying secondary to diabetic autonomic neuropathy (DAN) is a recognized risk factor for aspiration pneumonitis. [pdfs.journals.lww.com] Diabetes Mellitus GLP-1 RAs also delay gastric emptying, and it is reasonable to consider alternative therapies that do not delay gastric emptying. [doi.org] Its physiological effect includes weight loss, delayed gastric emptying, and a reduction in both postprandial glucose and glucagon. The primary side effect is nausea. [dx.doi.org] Glucose can delay or accelerate gastric emptying and vice versa. [doi.org] Spinal Muscular Atrophy Type 1 Additional findings include atrophy and fasciculations of the tongue, gastrointestinal problems (gastroesophageal reflux, constipation, and delayed gastric emptying) bulbar [symptoma.com] Specialty Collaborations & Other Services Gastro-Intestinal & Bowel Function Gastrointestinal problems such as reflux, delayed gastric emptying, and constipation are common [medicalhomeportal.org] Autonomic Nervous System Disorder Oesophageal dysmotility, delayed gastric emptying and autonomic neuropathy correlate to disturbed glucose homeostasis. Diabetologia. 2006 Sep. 49(9):2010-4. [Medline]. [emedicine.medscape.com] Systemic Amyloidosis Autonomic nervous system involvement by AL amyloidosis can lead to orthostatic hypotension, early satiety as a result of delayed gastric emptying, erectile dysfunction, and [doi.org] Hereditary ATTR Amyloidosis Symptoms include orthostatic hypotension, constipation alternating with diarrhea, nausea, vomiting, delayed gastric emptying, erectile dysfunction, anhydrosis, urinary retention [amyloidosis.co.nz] Amyloidosis Autonomic nervous system involvement by AL amyloidosis can lead to orthostatic hypotension, early satiety as a result of delayed gastric emptying, erectile dysfunction, and [doi.org] Spinal Muscular Atrophy Specialty Collaborations & Other Services Gastro-Intestinal & Bowel Function Gastrointestinal problems such as reflux, delayed gastric emptying, and constipation are common [medicalhomeportal.org] Chronic Granulomatous Disease A barium meal showed delayed gastric emptying and luminal thinness of the antrum and pylorus (Figures 1A–D). [frontiersin.org] An abdominal ultrasound (US) revealed major thickening of the pylorus up to the antrum and the gastric body. [frontiersin.org] Diabetic Enteropathy gastric emptying. [grantome.com] gastric emptying, associated with diabetic enteropathy. [d-net.idf.org] […] diabetes suffer from delayed gastric emptying, 7,8 only 50% of these patients with measured delay in gastric emptying are symptomatic. 12,13 Complicating any analysis, many [consultant360.com] Cannabinoid Hyperemesis Syndrome General Prevention Cannabis cessation or avoidance Commonly Associated Conditions Substance use disorders Delayed gastric emptying -- To view the remaining sections of this [unboundmedicine.com] CB1 receptor activation reduces gastric motility and results in delayed gastric emptying in rat models [44,45]. [ncbi.nlm.nih.gov] General Prevention Cannabis cessation or avoidance Commonly Associated Conditions Substance use disorders Delayed gastric emptying There's more to see -- the rest of this [unboundmedicine.com] Autoimmune Pangastritis emptying, a consistent delaying effect of these drugs on gastric emptying of solid meals has been shown. [32] Albeit the hypochlorhydria induced by proton pump inhibitors [journals.lww.com] Previously, in atrophic gastritis, a role of gastric emptying has been investigated, showing a delayed emptying both in the autoimmune [28] and nonautoimmune atrophic gastritis [journals.lww.com] [29] In addition, the reduced gastric acid secretion seems to be associated with the presence of dyspepsia [30] and more recently, a Japanese study conducted on dyspeptic [journals.lww.com] Dyspepsia Causes of Delayed Gastric Emptying [23]. 4. [intechopen.com] Causes of Delayed Gastric Emptying [23]. Advertisement 4. [intechopen.com] Another notable finding was the lack of efficacy in those with delayed gastric emptying suggesting different disease mechanisms may be in play in those with versus without [healio.com] Partial Pyloric Obstruction Some surgeons argue that prophylactic gastrojejunostomy may increase postoperative morbidity, primarily due to delayed gastric emptying. [emedicine.medscape.com] A degree of pylorospasm is common in infancy and is responsible for some delay in gastric emptying. The pylorus, however, appears sonographically normal. [radiopaedia.org] The phytobezoars form as a complication of delayed gastric emptying. [academic.oup.com] Pyloric Obstruction Figure 5: Showing delayed gastric emptying after about 1 hour of contrast seen in the stomach. [scitechnol.com] Some surgeons argue that prophylactic gastrojejunostomy may increase postoperative morbidity, primarily due to delayed gastric emptying. [emedicine.medscape.com] gastric emptying. [aon.or.kr] Aspiration of Gastric Contents Pathology of the gastrointestinal tract delays gastric emptying, ensuring a ‘full stomach’, and impairs the function of the LOS. [ceaccp.oxfordjournals.org] There is little evidence that trauma increases the risk of aspiration although a number of factors associated with trauma are known to delay gastric emptying. [cambridge.org] Hyperglycemia can cause delay in gastric emptying, so optimal blood glucose control is important. [todaysdietitian.com] Gastroesophageal Reflux Disease An association between gastroesophageal reflux and delayed gastric emptying is recognized. This is more common in premature infants. [emedicine.medscape.com] Delayed gastric emptying (DGE) is a major postoperative complication after pylorus-preserving pancreatoduodenectomy (PpPD) and sometimes causes reflux esophagitis. [ncbi.nlm.nih.gov] gastric emptying; such disorders are considered functional problems and frequently do not have an identifiable anatomic or organic cause Transient lower esophageal sphincter [emedicine.medscape.com] Postoperative Pancreatitis gastric emptying compared with the patients without delayed gastric emptying. [scipers.com] Surgical (9/12 vs. 5/27; P =0.001) but not medical complications occurred more often in the delayed gastric emptying group. [link.springer.com] Postoperative pancreatic fistula, delayed gastric emptying, postpancreatectomy hemorrhage, biliary fistula, wound infection, postoperative pancreatitis. [clinicaltrials.gov] Intestinal Hypomotility 23-26% of functional dyspeptic patients had delayed gastric emptying [ 20, 21 ]. [bmcgastroenterol.biomedcentral.com] Intro / Digestion / Who gets GP / What happens / Symptoms / Dx / Mild forms / Tx Theories related to delayed gastric emptying: Gastroparesis is delayed gastric emptying (emptying [digestivedistress.com] […] patients as having objective evidence of delayed gastric emptying. [chop.edu] Functional Dyspepsia Abstract Objective This study was performed to investigate impaired vagal activity to meal in patients with functional dyspepsia (FD) with delayed gastric emptying (GE). [ncbi.nlm.nih.gov] gastric emptying group and the non-delayed gastric emptying group. [ncbi.nlm.nih.gov] KEY MESSAGES: Gastroparesis is characterized by delayed gastric emptying in the absence of mechanical obstruction of the stomach. [ncbi.nlm.nih.gov] Bezoar Affected individuals suffer from delayed gastric emptying, nauseas, vomiting, and early feeling of satiety, anorexia, weight loss, dysphagia and abdominal bloating. [symptoma.com] Left: 69 year-old man with diabetes mellitus and end-stage renal disease with gastroparesis (delayed gastric emptying), who presented with nausea, postprandial vomiting and [endoatlas.com] gastric emptying. [apps.who.int] Intestinal Stasis gastric emptying. [rarediseases.org] It has long been recognized that many patients with gastroparesis have abnormal electrical gastric rhythms that may or may not correlate with delayed gastric emptying. [journal.diabetes.org] Delayed gastric emptying contributes to poor blood glucose control and may be the first indication that a patient is developing gastroparesis. 4 PATHOPHYSIOLOGY The delayed [aafp.org] Acquired Hypertrophic Pyloric Stenosis […] antral narrowing Antral peristalsis Delayed gastric emptying Elongation of pylorus Prognosis Resolves in several days / ? [learningradiology.com] Pyloric balloon dilation for delayed gastric emptying in children. Can J Gastroenterol. 2001; 15 :723-727. 5. Heymans HS, Bartelsman JW, Herweijer TJ. [wjgnet.com] US Findings : Pyloric muscle wall thickness > 4mm Pyloric canal > 14mm in longitudinal view Delayed or absent gastric emptying into the duodenum Exaggerated peristaltic waves [med-ed.virginia.edu] Dumping Syndrome Abstract Pectin is known to delay gastric emptying and alleviate dumping symptoms when ingested with hyperosmolar, glucose-containing meals. [ncbi.nlm.nih.gov] Vitamin B12, folic acid, iron, Ca+ Antispasmodics to delay gastric emptying [quizlet.com] Uncooked cornstarch is a complex carbohydrate that provides a slow and continuous glucose source and may delay gastric emptying. [ncbi.nlm.nih.gov] Subtotal Gastrectomy RESULTS: Delayed gastric emptying had occurred in twelve patients (3.1%). [ncbi.nlm.nih.gov] Delayed gastric emptying is encountered in adults after operations on the stomach, such as vagotomy and partial gastrectomy, and is extremely rare in young patients. [ncbi.nlm.nih.gov] The most common cause for readmission was delayed gastric emptying (17 cases). [ncbi.nlm.nih.gov] TMEM70-Related Mitochondrial Encephalo-Cardio-Myopathy The explosion of information in neurogenetics and metabolism mandates increasing awareness of appropriate diagnostic and therapeutic strategies in the setting of certain epilepsies, especially those of very early onset. There are over 200 inherited disorders that are associated with seizures and prompt[…] [books.google.com] Congenital Pyloric Stenosis […] antral narrowing Antral peristalsis Delayed gastric emptying Elongation of pylorus Prognosis Resolves in several days / ? [learningradiology.com] A degree of pylorospasm is common in infancy and is responsible for some delay in gastric emptying. The pylorus, however, appears sonographically normal. [radiopaedia.org] If the diagnosis remains uncertain, ultrasonography can be repeated serially or an upper GI series can be done, which typically shows delayed gastric emptying and a string [merckmanuals.com] Tabes Dorsalis Nursing Mnemonics: Tabes Dorsalis Tabes dorsalis, also known as syphilitic myelopathy, is a slow degeneration (specifically, demyelination) of the sensory neurons that carry afferent information. The degenerating nerves are in the dorsal columns (posterior columns) of the spinal cord (the portion closest to the back[…] [studypk.com] Duodenal Ulcer with Obstruction Left: Tight peptic stricture with associaated ulceration, in the post-bulbar duodenum of a 75 year-old man with symptoms of delayed gastric emptying. [endoatlas.com] Delayed gastric emptying, increased intragastric pH, and reflux of the duodenal contents into the stomach are factors indicative of the pathophysiology of gastric candidiasis [dbpia.co.kr] An anatomically patent gastrojejunostomy may fail to empty for days. This syndrome of delayed gastric emptying is a well-known entity and requires surgical patience. [laparoscopyhospital.com]