Gastroparesis differential diagnosis: Difference between revisions

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==Differentiating Gastroparesis from other Diseases==
==Differentiating Gastroparesis from other Diseases==
Gastroparesis should be differentiated from other diseases that cause chronic [[nausea and vomiting]]. The differentials include the following:<ref name="pmid25667023">{{cite journal |vauthors=Parkman HP |title=Idiopathic gastroparesis |journal=Gastroenterol. Clin. North Am. |volume=44 |issue=1 |pages=59–68 |year=2015 |pmid=25667023 |pmc=4324534 |doi=10.1016/j.gtc.2014.11.015 |url=}}</ref><ref name="pmid17015559">{{cite journal |vauthors=Werlin SL, Fish DL |title=The spectrum of valproic acid-associated pancreatitis |journal=Pediatrics |volume=118 |issue=4 |pages=1660–3 |year=2006 |pmid=17015559 |doi=10.1542/peds.2006-1182 |url=}}</ref><ref name="pmid16369243">{{cite journal |vauthors=Noddin L, Callahan M, Lacy BE |title=Irritable bowel syndrome and functional dyspepsia: different diseases or a single disorder with different manifestations? |journal=MedGenMed |volume=7 |issue=3 |pages=17 |year=2005 |pmid=16369243 |pmc=1681633 |doi= |url=}}</ref><ref name="pmid23226859">{{cite journal |vauthors=Gupta R, Kalla M, Gupta JB |title=Adult rumination syndrome: Differentiation from psychogenic intractable vomiting |journal=Indian J Psychiatry |volume=54 |issue=3 |pages=283–5 |year=2012 |pmid=23226859 |pmc=3512372 |doi=10.4103/0019-5545.102434 |url=}}</ref><ref name="urlBody weight in bulimia nervosa | SpringerLink">{{cite web |url=https://link.springer.com/article/10.1007/BF03339730 |title=Body weight in bulimia nervosa &#124; SpringerLink |format= |work= |accessdate=}}</ref>
Gastroparesis should be differentiated from other diseases that cause chronic [[nausea and vomiting]]. The differentials include the following:<ref name="pmid25667023">{{cite journal |vauthors=Parkman HP |title=Idiopathic gastroparesis |journal=Gastroenterol. Clin. North Am. |volume=44 |issue=1 |pages=59–68 |year=2015 |pmid=25667023 |pmc=4324534 |doi=10.1016/j.gtc.2014.11.015 |url=}}</ref><ref name="pmid17015559">{{cite journal |vauthors=Werlin SL, Fish DL |title=The spectrum of valproic acid-associated pancreatitis |journal=Pediatrics |volume=118 |issue=4 |pages=1660–3 |year=2006 |pmid=17015559 |doi=10.1542/peds.2006-1182 |url=}}</ref><ref name="pmid16369243">{{cite journal |vauthors=Noddin L, Callahan M, Lacy BE |title=Irritable bowel syndrome and functional dyspepsia: different diseases or a single disorder with different manifestations? |journal=MedGenMed |volume=7 |issue=3 |pages=17 |year=2005 |pmid=16369243 |pmc=1681633 |doi= |url=}}</ref><ref name="pmid23226859">{{cite journal |vauthors=Gupta R, Kalla M, Gupta JB |title=Adult rumination syndrome: Differentiation from psychogenic intractable vomiting |journal=Indian J Psychiatry |volume=54 |issue=3 |pages=283–5 |year=2012 |pmid=23226859 |pmc=3512372 |doi=10.4103/0019-5545.102434 |url=}}</ref><ref name="urlBody weight in bulimia nervosa | SpringerLink">{{cite web |url=https://link.springer.com/article/10.1007/BF03339730 |title=Body weight in bulimia nervosa &#124; SpringerLink |format= |work= |accessdate=}}</ref><ref name="pmid25904280">{{cite journal |vauthors=Sağlam F, Sivrikoz E, Alemdar A, Kamalı S, Arslan U, Güven H |title=Bouveret syndrome: A fatal diagnostic dilemma of gastric outlet obstruction |journal=Ulus Travma Acil Cerrahi Derg |volume=21 |issue=2 |pages=157–9 |year=2015 |pmid=25904280 |doi= |url=}}</ref>


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Revision as of 19:54, 7 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Gastroparesis should be differentiated from other diseases that cause chronic nausea and vomiting. The differentials include psychiatric illnesses, rumination syndrome, funtional dyspepsia and cyclic vomiting syndrome.

Differentiating Gastroparesis from other Diseases

Gastroparesis should be differentiated from other diseases that cause chronic nausea and vomiting. The differentials include the following:[1][2][3][4][5][6]

Disorder Clinical features Laboratory findings
Chronic nausea Vomiting Diarrhea Retching Lethargy Social withdrawal Photophobia Epigastric pain/burning Lanugo hair Hypogonadism Russel's sign Body mass index (normal range: 18.5 to 24.9) Complete blood count (CBC) Electrolyte imabalance Lipase and amylase levels Endoscopic findings Gastric scintigraphy Ambulatory esophageal pH and impedance testing
Gastroparesis ✔ ✔ (within 1 hour of eating) - ✔ - - ✔ - - - ↓
Anorexia nervosa ✔ ✔ ✔ - ✔ - - ✔ ✔ - ↓ Leukocytosis, anemia
Bulimia nervosa ✔ ✔ ✔ ✔ ✔ - - - ✔ ✔ Normal Leukocytosis, anemia
Rumination syndrome ✔ ✔ (Regurgitation more common) ✔ - ✔ ✔ ✔ ✔ - - - ↓ Normal
Functional dyspepsia ✔ ✔ ✔ ✔ - - - - - - Normal Normal
Cyclic vomiting syndrome ✔ ✔ - ✔ - - - - - - ↓ Leukocytosis, anemia
Pancreatitis ✔ ✔ ✔ ✔ - - ✔ - - - Normal Leukocytosis
Gastric outlet obstruction ✔ ✔ (within 1 hour of eating) - - - - ✔ - - - ↓ Leukocytosis

References

  1. ↑ Parkman HP (2015). "Idiopathic gastroparesis". Gastroenterol. Clin. North Am. 44 (1): 59–68. doi:10.1016/j.gtc.2014.11.015. PMC 4324534. PMID 25667023.
  2. ↑ Werlin SL, Fish DL (2006). "The spectrum of valproic acid-associated pancreatitis". Pediatrics. 118 (4): 1660–3. doi:10.1542/peds.2006-1182. PMID 17015559.
  3. ↑ Noddin L, Callahan M, Lacy BE (2005). "Irritable bowel syndrome and functional dyspepsia: different diseases or a single disorder with different manifestations?". MedGenMed. 7 (3): 17. PMC 1681633. PMID 16369243.
  4. ↑ Gupta R, Kalla M, Gupta JB (2012). "Adult rumination syndrome: Differentiation from psychogenic intractable vomiting". Indian J Psychiatry. 54 (3): 283–5. doi:10.4103/0019-5545.102434. PMC 3512372. PMID 23226859.
  5. ↑ Sağlam F, Sivrikoz E, Alemdar A, Kamalı S, Arslan U, Güven H (2015). "Bouveret syndrome: A fatal diagnostic dilemma of gastric outlet obstruction". Ulus Travma Acil Cerrahi Derg. 21 (2): 157–9. PMID 25904280.
  6. ↑ http://www.wrongdiagnosis.com/g/gastroparesis/misdiag.htm

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