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Type: Journal article
Title: New management approaches for gastroparesis
Author: Rayner, C.
Horowitz, M.
Citation: Nature Clinical Practice Gastroenterology and Hepatology, 2005; 2(10):454-462
Publisher: Nature Publishing Group
Issue Date: 2005
ISSN: 1743-4378
Statement of
Christopher K Rayner and Michael Horowitz
Abstract: Management of patients with gastroparesis is challenging. Although the syndrome has multiple causes and knowledge of the pathophysiology and natural history is far from complete, a number of common management principles can be applied. The relatively poor correlation between uppergastrointestinal symptoms and disordered gastric emptying represents a major difficulty in the therapeutic approach, and evidence to support the efficacy of current management strategies is often suboptimal, especially in relation to long-term therapy. In this review, the common causes and pathophysiology of gastroparesis are summarized, the diagnostic approach considered, and the evidence to support medical and surgical therapies reviewed. These therapies include currently available prokinetic drugs, novel medical therapies, and the promising technique of gastric electrical stimulation.
Keywords: gastric emptying
gastric motility
Description: Copyright © 2005 Nature Publishing Group
DOI: 10.1038/ncpgasthep0283
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