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Antroduodenal Manometry for the Evaluation of Patients with Suspected Gastroparesis

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Gastroparesis

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

The symptom pattern of patients with a documented delay in gastric emptying has been evaluated recently in a large cohort of patients entered in the Gastroparesis Registry supported by the NIH. The predominant symptoms of gastroparesis are nausea, vomiting, and in a large percentage of patients, abdominal pain. Nausea is the predominant symptom in 34.5% of 319 patients and occurs in 84.3% of patients. Similar numbers of these patients have vomiting (28.9%/68.7%) and abdominal pain (19.8%/71.8%) (personal communication). Interestingly, patients with chronic nausea, vomiting, or abdominal pain may have a normal gastric emptying. This chapter addresses how antroduodenal manometry can assist in managing patients with chronic nausea, vomiting and abdominal pain by measuring baseline gastric, pyloric, and small intestinal contractions and the response to a meal or drugs.

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Authors and Affiliations

  1. California Pacific Medical Center, 2340 Clay Street, Room 210, San Francisco, CA, 94115, USA

    William J. Snape Jr. MD (Director)

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  1. William J. Snape Jr. MD
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Correspondence to William J. Snape Jr. MD .

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Editors and Affiliations

  1. School of Medicine, Department of Medicine, Temple University, N. Broad St. 3401, Philadelphia, 19140, Pennsylvania, USA

    Henry P. Parkman

  2. Paul L Foster School of Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Ce, Alberta Avenue 4800, El Paso, 77905, Texas, USA

    Richard W. McCallum

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Snape, W.J. (2012). Antroduodenal Manometry for the Evaluation of Patients with Suspected Gastroparesis. In: Parkman, H., McCallum, R. (eds) Gastroparesis. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-60761-552-1_15

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  • DOI: https://doi.org/10.1007/978-1-60761-552-1_15

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