Originally Posted by tyagee
suspected DM gastroparesis..next step ? erythromycin or endoscope to rule cancer?
I remember this question in Kaplan Q-bank... The right answer there was to do Endo first to rule out cancer and other potential causes of gastric motility problems... But I didn't find this concept anywhere else. In MTB it is said that clinics and diabetes history itself is sufficient to verify gastroparesis so there is no need in further investigations --> proceed straight to erythromycin. So actually I don't know =)