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2023 update on the clinical management of gastroparesis.
[INTRODUCTION] Gastroparesis is characterized by symptoms suggesting gastric retention of food and objective evidence of delayed gastric emptying in the absence of a mechanical obstruction. Nausea, vomiting, early satiety, and postprandial …
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Management of the patient with esophagogastric junction outflow obstruction.
[PURPOSE OF REVIEW] Esophagogastric junction outflow obstruction (EGJOO), defined as elevated integrated residual pressure (IRP) with preservation of esophageal peristalsis, is a common finding on high-resolution esophageal manometry. [REC…
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Botulinum Toxin A Improves Symptoms of Gastroparesis.
[BACKGROUND AND AIMS] Pyloric injections of botulinum toxin A (BoNT/A) have shown benefit in open-label studies for patients with gastroparesis but not in randomized trials. We sought to examine the effectiveness of BoNT/A injections in a p…
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Pyloric sphincter characteristics using EndoFLIP in gastroparesis.
[INTRODUCTION AND AIMS] Pyloric sphincter abnormalities may be detected in gastroparesis. Botulinum toxin A (BoNT/A) injection into the pylorus has been used to treat gastroparesis with varying results. The aim of the present article was to…
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Diagnosis and management of esophageal achalasia.
Achalasia is a rare esophageal motility disorder that is usually idiopathic in origin. It is characterized by dysphagia, and patients often have chest pain, regurgitation, weight loss, and an abnormal barium radiograph showing esophageal di…