Gastroenterological Society of Australia Position Statement on the Assessment and Management of Idiopathic Gastroparesis.
Idiopathic gastroparesis (IGP) treatment guidelines have to date focused on delayed gastric emptying as the cause of the associated symptoms of postprandial nausea, vomiting, early satiety, fullness, and pain. However the diagnostic hallmark-delayed gastric emptying-correlates poorly with symptoms,…
The relationship between patient-reported hunger and gastric contents in adult patients with acute surgical abdominal pathology: exploratory prospective observational study.
Patient-reported hunger has been used to infer an empty stomach preoperatively. We hypothesised that hungry patients with acute abdominal pathology would be considered 'low risk' of aspiration when assessed by gastric ultrasound. The primary aim was to determine whether patient-reported hunger was a…
Glucagon-Like Peptide-1 Based Therapies and the Risk of Severe Gastrointestinal Motility Adverse Events: A Cohort Study.
Evidence showing the association between glucagon-like 1 (GLP-1) based therapies and severe gastrointestinal motility events is limited and possible treatment effect heterogeneity by demographic and clinical characteristics is unknown. We aimed to compare rates of severe motility-related gastrointes…
[Late complications after atrial fibrillation ablation : Diagnosis and management].
Delayed complications may occur up to weeks after atrial fibrillation (AF) ablation and are usually a consequence of initial injury during ablation and ongoing processes progressing to severe symptomatic but late-onset events. A structured clinical follow-up of patients to appraise for lat…
What Are We Treating? The Need for Broader Provider Understanding of POTS, Its Nature, and Care.
Postural orthostatic tachycardia syndrome (POTS) as conventionally defined is a chronic condition (typically >3 months duration) incorporating reproducible symptoms of orthostatic intolerance (including dizziness/lightheadedness, and near-syncope) in the absence of orthostatic hypotension (i.e., abs…
[Neural mechanism of acupuncture-driven vagus nerve-gastric reflex regulating gastric motility in mice with diabetic gastroparesis].
To observe the immediate regulatory effect of electroacupuncture (EA) on gastric motility via the vagus nerve in mice with diabetic gastroparesis (DGP), and to explore the potential central mechanism related to vagus nerve underlying the effects of acupoints. A total of 27 male C57BL/6 mice of clean…
Impact of gastric emptying and small intestinal carbohydrate absorption on glycemia in health and diabetes: therapeutic implications.
Gastric emptying, which exhibits a substantial inter-, but much lesser intraindividual, variation in health and is frequently disordered (particularly delayed) in diabetes, is now appreciated to be a major determinant of postprandial glycemia. The incretin hormones glucose dependent insulinotropic p…