Gastroparesis laboratory findings: Difference between revisions
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==Laboratory Findings== | ==Laboratory Findings== | ||
*There are no diagnostic laboratory findings associated with gastroparesis. | *There are no diagnostic laboratory findings associated with gastroparesis. | ||
*Laboratory findings consistent with the diagnosis of gastroparesis and its complications include: | *Laboratory findings consistent with the diagnosis of gastroparesis and its complications include:<ref name="ParkmanYates2011">{{cite journal|last1=Parkman|first1=Henry P.|last2=Yates|first2=Katherine P.|last3=Hasler|first3=William L.|last4=Nguyan|first4=Linda|last5=Pasricha|first5=Pankaj J.|last6=Snape|first6=William J.|last7=Farrugia|first7=Gianrico|last8=Calles|first8=Jorge|last9=Koch|first9=Kenneth L.|last10=Abell|first10=Thomas L.|last11=McCallum|first11=Richard W.|last12=Petito|first12=Dorothy|last13=Parrish|first13=Carol Rees|last14=Duffy|first14=Frank|last15=Lee|first15=Linda|last16=Unalp–Arida|first16=Aynur|last17=Tonascia|first17=James|last18=Hamilton|first18=Frank|title=Dietary Intake and Nutritional Deficiencies in Patients With Diabetic or Idiopathic Gastroparesis|journal=Gastroenterology|volume=141|issue=2|year=2011|pages=486–498.e7|issn=00165085|doi=10.1053/j.gastro.2011.04.045}}</ref><ref name="PasrichaYates2015">{{cite journal|last1=Pasricha|first1=Pankaj J.|last2=Yates|first2=Katherine P.|last3=Nguyen|first3=Linda|last4=Clarke|first4=John|last5=Abell|first5=Thomas L.|last6=Farrugia|first6=Gianrico|last7=Hasler|first7=William L.|last8=Koch|first8=Kenneth L.|last9=Snape|first9=William J.|last10=McCallum|first10=Richard W.|last11=Sarosiek|first11=Irene|last12=Tonascia|first12=James|last13=Miriel|first13=Laura A.|last14=Lee|first14=Linda|last15=Hamilton|first15=Frank|last16=Parkman|first16=Henry P.|title=Outcomes and Factors Associated With Reduced Symptoms in Patients With Gastroparesis|journal=Gastroenterology|volume=149|issue=7|year=2015|pages=1762–1774.e4|issn=00165085|doi=10.1053/j.gastro.2015.08.008}}</ref><ref name="SteinEverhart2015">{{cite journal|last1=Stein|first1=Benjamin|last2=Everhart|first2=Kelly K.|last3=Lacy|first3=Brian E.|title=Gastroparesis|journal=Journal of Clinical Gastroenterology|volume=49|issue=7|year=2015|pages=550–558|issn=0192-0790|doi=10.1097/MCG.0000000000000320}}</ref> | ||
**Elevated [[Blood urea nitrogen|BUN]] in severe [[dehydration]] (normal [[Blood urea nitrogen|BUN]] <20 mg/dL) | **Elevated [[Blood urea nitrogen|BUN]] in severe [[dehydration]] (normal [[Blood urea nitrogen|BUN]] <20 mg/dL) | ||
**Elevated [[creatinine]] in severe [[dehydration]] (normal [[creatinine]] <1.1 mg/dL for female, <1.2 mg/dL for male) | **Elevated [[creatinine]] in severe [[dehydration]] (normal [[creatinine]] <1.1 mg/dL for female, <1.2 mg/dL for male) | ||
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**Elevated [[erythrocyte sedimentation rate]] (normal [[Erythrocyte sedimentation rate|ESR]] <20 mm/h) | **Elevated [[erythrocyte sedimentation rate]] (normal [[Erythrocyte sedimentation rate|ESR]] <20 mm/h) | ||
**[[Hypoalbuminemia]] (normal [[albumin]] >3.5 g/dL) | **[[Hypoalbuminemia]] (normal [[albumin]] >3.5 g/dL) | ||
*Patients with gastroparesis might have abnormal tests depends on underlying cause: | *Patients with gastroparesis might have abnormal tests depends on underlying cause:<ref name="ParkmanYates2011">{{cite journal|last1=Parkman|first1=Henry P.|last2=Yates|first2=Katherine|last3=Hasler|first3=William L.|last4=Nguyen|first4=Linda|last5=Pasricha|first5=Pankaj J.|last6=Snape|first6=William J.|last7=Farrugia|first7=Gianrico|last8=Koch|first8=Kenneth L.|last9=Calles|first9=Jorge|last10=Abell|first10=Thomas L.|last11=McCallum|first11=Richard W.|last12=Lee|first12=Linda|last13=Unalp–Arida|first13=Aynur|last14=Tonascia|first14=James|last15=Hamilton|first15=Frank|title=Similarities and Differences Between Diabetic and Idiopathic Gastroparesis|journal=Clinical Gastroenterology and Hepatology|volume=9|issue=12|year=2011|pages=1056–1064|issn=15423565|doi=10.1016/j.cgh.2011.08.013}}</ref> | ||
**Elevated [[Glycosylated hemoglobin|HbA1C]] (in diabetic gastroparesis) | **Elevated [[Glycosylated hemoglobin|HbA1C]] (in diabetic gastroparesis) | ||
**Elevated [[glucose]] (in diabetic gastroparesis) | **Elevated [[glucose]] (in diabetic gastroparesis) | ||
Revision as of 17:53, 6 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]
Overview
Laboratory Findings
- There are no diagnostic laboratory findings associated with gastroparesis.
- Laboratory findings consistent with the diagnosis of gastroparesis and its complications include:[1][2][3]
- Elevated BUN in severe dehydration (normal BUN <20 mg/dL)
- Elevated creatinine in severe dehydration (normal creatinine <1.1 mg/dL for female, <1.2 mg/dL for male)
- Elevated c-reactive protein (normal CRP <0.8 mg/dL)
- Elevated erythrocyte sedimentation rate (normal ESR <20 mm/h)
- Hypoalbuminemia (normal albumin >3.5 g/dL)
- Patients with gastroparesis might have abnormal tests depends on underlying cause:[1]
References
- ↑ 1.0 1.1 Parkman, Henry P.; Yates, Katherine P.; Hasler, William L.; Nguyan, Linda; Pasricha, Pankaj J.; Snape, William J.; Farrugia, Gianrico; Calles, Jorge; Koch, Kenneth L.; Abell, Thomas L.; McCallum, Richard W.; Petito, Dorothy; Parrish, Carol Rees; Duffy, Frank; Lee, Linda; Unalp–Arida, Aynur; Tonascia, James; Hamilton, Frank (2011). "Dietary Intake and Nutritional Deficiencies in Patients With Diabetic or Idiopathic Gastroparesis". Gastroenterology. 141 (2): 486–498.e7. doi:10.1053/j.gastro.2011.04.045. ISSN 0016-5085.
- ↑ Pasricha, Pankaj J.; Yates, Katherine P.; Nguyen, Linda; Clarke, John; Abell, Thomas L.; Farrugia, Gianrico; Hasler, William L.; Koch, Kenneth L.; Snape, William J.; McCallum, Richard W.; Sarosiek, Irene; Tonascia, James; Miriel, Laura A.; Lee, Linda; Hamilton, Frank; Parkman, Henry P. (2015). "Outcomes and Factors Associated With Reduced Symptoms in Patients With Gastroparesis". Gastroenterology. 149 (7): 1762–1774.e4. doi:10.1053/j.gastro.2015.08.008. ISSN 0016-5085.
- ↑ Stein, Benjamin; Everhart, Kelly K.; Lacy, Brian E. (2015). "Gastroparesis". Journal of Clinical Gastroenterology. 49 (7): 550–558. doi:10.1097/MCG.0000000000000320. ISSN 0192-0790.