Gastroparesis Echocardiography and Ultrasound
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
Overview
Both 2D and 3D transabdominal ultrasound is helpful in the diagnosis of gastroparesis. Findings on ultrasound suggestive of gastroparesis include prolonged distal and proximal gastric emptying T50, larger antral area, lower gastric emptying rate, fewer antral contractions.
Ultrasound
- There are no echocardiography findings associated with gastroparesis.
- Transabdominal ultrasound may be helpful in the diagnosis of gastroparesis. Findings on an transabdominal ultrasound suggestive of gastroparesis include:[1][2]
- Prolonged distal and proximal gastric emptying
- Larger antral area
- Lower gastric emptying rate
- Fewer antral contractions
- The advantages of ultrasound include:
- Assessment of postprandial gastric motility after a liquid meal
- Inexpensive
- Widely available
- Noninvasive
- Radiation-free diagnostic modality, so preferred over scintigraphy in pregnant women and children
- The disadvantages of ultrasound include:
References
- ↑ Haruma K, Kusunoki H, Manabe N, Kamada T, Sato M, Ishii M, Shiotani A, Hata J (2008). "Real-time assessment of gastroduodenal motility by ultrasonography". Digestion. 77 Suppl 1: 48–51. doi:10.1159/000111488. PMID 18204262.
- ↑ "Abdominal ultrasound for the evaluation of gastric emptying revisited". Journal of Gastrointestinal and Liver Diseases. 24 (3). 2015. doi:10.15403/jgld.2014.1121.243.mur. ISSN 1841-8724.