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In , 21 cases were described, but in , 5 million US individuals were diagnosed as having gastroparesis. This rapid increase in prevalence is likely to have occurred because it has become much easier to measure gastric emptying and to attribute symptoms to this without necessarily thinking through differentials.
The incidence of hospital admissions for patients labelled as having gastroparesis is rapidly rising, increasing at a much faster rate than admissions for patients with nausea and vomiting, gastro-oesophageal reflux disease, gastritis or gastric ulcers, which are all remaining relatively static. Gastroparesis therefore represents a major healthcare burden. Billroth gastrectomy, oesophagectomy, gastric bypass surgery and fundoplication. In this article, I describe the mistakes most frequently made in patients who have a suspected diagnosis of gastroparesis.
I base my discussion on the available evidence as well as clinical experience in the field. Cite this article as: Fikree A. Mistakes in gastroparesis and how to avoid them. UEG Education ; 18— Correspondence to: [email protected]. Conflicts of interest: The author declares there are no conflicts of interest in relation to this article.
A diagnosis of gastroparesis requires three features to be met — a delay in gastric emptying, the absence of mechanical obstruction and typical symptoms figure 1. If the predominant symptoms are more those of dyspepsia but there is no nausea and vomiting, the diagnosis is most likely to be functional dyspepsia, which has a different treatment algorithm see mistake 2.
