National Survey of Physicians' Perception of the Cause, Complications, and Management of Gastroparesis

Briley, Lauren; Harrell, Steven P.; Woosley, Allison; Eversmann, Jennifer; Wo, John M.

doi:10.1097/smj.0b013e318215fa5a

Cited by 4 publications

(4 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, symptom severity and clinical presentation do not relate to the degree of delay in gastric emptying [9,10]. Unlike gastroesophageal reflux disease, where erosive esophagitis, esophageal peptic stricture and Barrett’s esophagus are specific identifiers for patients with severe disease, the clinical features that indicate the severity of gastroparesis are poorly defined [11]. Symptoms of upper abdominal pain, nausea, and vomiting are subjective, and objective markers for complications of severe gastroparesis are lacking [11].…”

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors for postsurgical gastroparesis syndrome after laparoscopic and open radical gastrectomy

et al. 2013

View full text Add to dashboard Cite

BackgroundThe aim of this study was to investigate the differences and influencing factors for postsurgical gastroparesis syndrome incidence after laparoscopic and open radical gastrectomy.MethodsClinical data were collected for 563 patients who underwent open radical gastrectomy for gastric cancer and 72 cases receiving laparoscopic radical gastrectomy. We retrospectively analyzed the incidence of postsurgical gastroparesis syndrome, clinical features, course of disease, and risk factors of these two groups.ResultsThere was no statistical difference for the incident rate of postsurgical gastroparesis syndrome between laparoscopic and open radical gastrectomy (6.9% vs. 3.7%, P > 0.05). Preoperative outflow tract obstruction and Billroth II anastomosis were the two risk factors for postsurgical gastroparesis syndrome in the open radical gastrectomy group and the laparoscopic surgery for gastric cancer group. The same results were obtained from logistic regression statistical analysis. Age greater than 70 years was also one of the risk factors for postsurgical gastroparesis syndrome in the open radical gastrectomy group (P < 0.05).ConclusionsLaparoscopic radical gastrectomy for gastric cancer does not increase the incident rate of postsurgical gastroparesis syndrome.

show abstract

Section: Discussionmentioning

confidence: 99%

Incidence and risk factors for postsurgical gastroparesis syndrome after laparoscopic and open radical gastrectomy

et al. 2013

View full text Add to dashboard Cite

show abstract

“…In one series, pain was predominant in 44% while nausea and vomiting dominated in 51% . Sixty‐one percent of physicians ranked postprandial pain as the most frequent symptom of gastroparesis in one report . The pathophysiology of pain in gastroparesis is poorly understood; available studies do not indicate a pathogenic role for delayed gastric emptying .…”

Section: Introductionmentioning

confidence: 99%

“…7 Sixty-one percent of physicians ranked postprandial pain as the most frequent symptom of gastroparesis in one report. 9 The pathophysiology of pain in gastroparesis is poorly understood; available studies do not indicate a pathogenic role for delayed gastric emptying. 3,[10][11][12][13][14] Treatment trials have not focused on gastroparesis pain.…”

Section: Introductionmentioning

confidence: 99%

Factors related to abdominal pain in gastroparesis: contrast to patients with predominant nausea and vomiting

Hasler

Wilson

Parkman

et al. 2013

Neurogastroenterology Motil

108

112

View full text Add to dashboard Cite

Background Factors associated with abdominal pain in gastroparesis are incompletely evaluated and comparisons of pain versus other symptoms are limited. This study related pain to clinical factors in gastroparesis and contrasted pain/discomfort- with nausea/vomiting-predominant disease. Methods Clinical and scintigraphy data were compared in 393 patients from 7 centers of the NIDDK Gastroparesis Clinical Research Consortium with moderate-severe (Patient Assessment of Upper Gastrointestinal Disorders Symptoms [PAGI-SYM] score ≥3) vs. none-mild (PAGI-SYM <3) upper abdominal pain and predominant pain/discomfort vs. nausea/vomiting. Key Results Upper abdominal pain was moderate-severe in 261 (66%). Pain/discomfort was predominant in 81 (21%); nausea/vomiting was predominant in 172 (44%). Moderate-severe pain was more prevalent with idiopathic gastroparesis and with lack of infectious prodrome (P≤0.05) and correlated with scores for nausea/vomiting, bloating, lower abdominal pain/discomfort, bowel disturbances, and opiate and antiemetic use (P<0.05) but not gastric emptying or diabetic neuropathy or control. Gastroparesis severity, quality of life, and depression and anxiety were worse with moderate-severe pain (P≤0.008). Factors associated with moderate-severe pain were similar in diabetic and idiopathic gastroparesis. Compared to predominant nausea/vomiting, predominant pain/discomfort was associated with impaired quality of life, greater opiate, and less antiemetic use (P<0.01), but similar severity and gastric retention. Conclusions & Inferences Moderate-severe abdominal pain is prevalent in gastroparesis, impairs quality of life, and is associated with idiopathic etiology, lack of infectious prodrome, and opiate use. Pain is predominant in one fifth of gastroparetics. Predominant pain has at least as great an impact on disease severity and quality of life as predominant nausea/vomiting.

show abstract

“…The ratio of different medical specialties could also be estimated using physician directories. Such databases could be used by governments and professional associations for medical human resource planning or national surveys (1)(2)(3)(4). It could also be used by patients when they need to contact or have access to doctors (5).…”

Section: Introductionmentioning

confidence: 99%

Accuracy of Physician Directories in Tehran Considering the Present Situation and Improvement Suggestions

Aeenparast

Maftoon

Farzadi

et al. 2014

Thrita

View full text Add to dashboard Cite

Background: Physician directories are among the most important databases in health systems. Objectives: The aim of this study was to estimate the accuracy of physician directories in Tehran, Iran. Materials and Methods: This was a cross-sectional study. Tehran, the capital of Iran, was selected for study. Specialists', fellowships' and subspecialists' information were extracted from Islamic Republic of Iran Medical Council (IRIMC) website and completed using the White Book. The data were gathered through telephone interviews in 2010, which included the physicians' names, sexes, types of specialties, office phone numbers, and office addresses. Results: The information of 5475 physicians was extracted from databases. The findings showed that 59.2% of phone numbers were registered correctly. These structural and functional defects may occur due to incomplete updating cycles. Conclusions:The study findings reflected the necessity of establishing revision cycles in studied databases and providing a basic framework for a national medical directory.

show abstract

National Survey of Physicians' Perception of the Cause, Complications, and Management of Gastroparesis

Abstract: More physician awareness and education is needed on gastroparesis and the standardized four-hour gastric scintigraphy method, as well to clarify the management strategy for this condition.

Cited by 4 publications

References 20 publications

Incidence and risk factors for postsurgical gastroparesis syndrome after laparoscopic and open radical gastrectomy

Incidence and risk factors for postsurgical gastroparesis syndrome after laparoscopic and open radical gastrectomy

Factors related to abdominal pain in gastroparesis: contrast to patients with predominant nausea and vomiting

Accuracy of Physician Directories in Tehran Considering the Present Situation and Improvement Suggestions

Contact Info

Product

Resources

About