Gastroparesis Echocardiography and Ultrasound: Difference between revisions
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{{Gastroparesis}} | {{Gastroparesis}} | ||
{{CMG}}; {{AE}} {{SSH}}{{MSI}} | {{CMG}}; {{AE}} {{SSH}}; {{MSI}} | ||
==Overview== | ==Overview== | ||
Both 2D and 3D transabdominal ultrasound is helpful in the diagnosis of gastroparesis. Findings on ultrasound suggestive of gastroparesis include prolonged distal and proximal gastric emptying | Both 2D and 3D transabdominal [[ultrasound]] is helpful in the [[diagnosis]] of gastroparesis. Findings on [[ultrasound]] suggestive of gastroparesis include prolonged distal and proximal [[Stomach|gastric]] emptying, larger [[Antrum|antral]] area, lower [[Stomach|gastric]] emptying rate, fewer [[Antrum|antral]] contractions. | ||
==Ultrasound== | ==Ultrasound== | ||
*There are no [[echocardiography]] findings associated with gastroparesis. | *There are no abnormal [[echocardiography]] findings associated with gastroparesis. | ||
*Transabdominal [[ultrasound]] may be helpful in the diagnosis of gastroparesis. Findings on an transabdominal [[ultrasound]] suggestive of gastroparesis include:<ref>{{cite journal |vauthors=Haruma K, Kusunoki H, Manabe N, Kamada T, Sato M, Ishii M, Shiotani A, Hata J |title=Real-time assessment of gastroduodenal motility by ultrasonography |journal=Digestion |volume=77 Suppl 1 |issue= |pages=48–51 |year=2008 |pmid=18204262 |doi=10.1159/000111488 |url=}}</ref><ref>{{cite journal|title=Abdominal ultrasound for the evaluation of gastric emptying revisited|journal=Journal of Gastrointestinal and Liver Diseases|volume=24|issue=3|year=2015|issn=18418724|doi=10.15403/jgld.2014.1121.243.mur}}</ref> | *Transabdominal [[ultrasound]] may be helpful in the [[diagnosis]] of gastroparesis. Findings on an transabdominal [[ultrasound]] suggestive of gastroparesis include:<ref>{{cite journal |vauthors=Haruma K, Kusunoki H, Manabe N, Kamada T, Sato M, Ishii M, Shiotani A, Hata J |title=Real-time assessment of gastroduodenal motility by ultrasonography |journal=Digestion |volume=77 Suppl 1 |issue= |pages=48–51 |year=2008 |pmid=18204262 |doi=10.1159/000111488 |url=}}</ref><ref>{{cite journal|title=Abdominal ultrasound for the evaluation of gastric emptying revisited|journal=Journal of Gastrointestinal and Liver Diseases|volume=24|issue=3|year=2015|issn=18418724|doi=10.15403/jgld.2014.1121.243.mur}}</ref> | ||
**Prolonged distal and proximal gastric emptying | **Prolonged distal and proximal gastric emptying | ||
**Larger antral area | **Larger [[Antrum|antral]] area | ||
**Lower gastric emptying rate | **Lower [[Stomach|gastric]] emptying rate | ||
**Fewer antral contractions | **Fewer [[Antrum|antral]] contractions | ||
*The advantages of [[ultrasound]] include: | *The advantages of [[ultrasound]] include: | ||
**Assessment of postprandial gastric motility after a liquid meal | **Assessment of [[postprandial]] [[gastric]] motility after a liquid meal | ||
**Inexpensive | **Inexpensive | ||
**Widely available | **Widely available | ||
**Noninvasive | **Noninvasive | ||
**[[Radiation]]-free diagnostic modality, so preferred over scintigraphy in pregnant women and children | **[[Radiation]]-free diagnostic modality, so preferred over [[scintigraphy]] in pregnant women and children | ||
*The disadvantages of ultrasound include: | *The disadvantages of [[ultrasound]] include: | ||
**Operator dependent | **Operator dependent | ||
**Lack of evidence for assessing [[postprandial]] [[gastric]] motility following solid meals | |||
**Limitation of [[ultrasound]] in specific patients who have: | **Limitation of [[ultrasound]] in specific patients who have: | ||
***[[Obesity]] | ***[[Obesity]] | ||
***[[Gas]] in the [[stomach]] | ***[[Gas]] in the [[stomach]] | ||
***Atypical [[anatomy]] of the [[stomach]] | ***Atypical [[anatomy]] of the [[stomach]] | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Latest revision as of 18:23, 9 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]; Madhu Sigdel M.B.B.S.[3]
Overview
Both 2D and 3D transabdominal ultrasound is helpful in the diagnosis of gastroparesis. Findings on ultrasound suggestive of gastroparesis include prolonged distal and proximal gastric emptying, larger antral area, lower gastric emptying rate, fewer antral contractions.
Ultrasound
- There are no abnormal echocardiography findings associated with gastroparesis.
- Transabdominal ultrasound may be helpful in the diagnosis of gastroparesis. Findings on an transabdominal ultrasound suggestive of gastroparesis include:[1][2]
- The advantages of ultrasound include:
- Assessment of postprandial gastric motility after a liquid meal
- Inexpensive
- Widely available
- Noninvasive
- Radiation-free diagnostic modality, so preferred over scintigraphy in pregnant women and children
- The disadvantages of ultrasound include:
- Operator dependent
- Lack of evidence for assessing postprandial gastric motility following solid meals
- Limitation of ultrasound in specific patients who have:
References
- ↑ Haruma K, Kusunoki H, Manabe N, Kamada T, Sato M, Ishii M, Shiotani A, Hata J (2008). "Real-time assessment of gastroduodenal motility by ultrasonography". Digestion. 77 Suppl 1: 48–51. doi:10.1159/000111488. PMID 18204262.
- ↑ "Abdominal ultrasound for the evaluation of gastric emptying revisited". Journal of Gastrointestinal and Liver Diseases. 24 (3). 2015. doi:10.15403/jgld.2014.1121.243.mur. ISSN 1841-8724.