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Old 06-26-2012
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GIT Treatment of Gastroparesis?

suspected DM gastroparesis..next step ? erythromycin or endoscope to rule cancer?
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Old 06-26-2012
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erythromycin.
endoscopy in diabetic gastroparesis will show nothing.
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Old 06-28-2012
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Quote:
Originally Posted by tyagee View Post
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 =)
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Old 06-29-2012
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The new england journal of medicine

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Before evaluating a patient for gastroparesis, it is essential to rule out obstruction with the use of esophagogastroduodenoscopy or a barium study of the stomach. Food retained in the stomach after a 12-hour fast is suggestive of gastroparesis.
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The above post was thanked by:
Antonosjn (06-29-2012), ehtisham (06-29-2012), tyagee (06-29-2012)



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