Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content ++ Severely delayed gastric emptying is moderately common. ++ Symptoms ++ Upper abdominal discomfort Early satiety Nausea; vomiting (1–3 h after meals) ++ Common causes ++ Diabetic gastroparesis Post surgery, e.g. vagotomy, fundoplication Idiopathic ++ Diagnosis ++ Endoscopy → gastric residue Barium swallow + follow through ‘Nuclear’ gastric emptying test ++ Management ++ Diet—small meals, avoid fats and doughy bread ++ Consider ++ Motilium, metoclopramide or erythromycin Pyloric injection botulinum toxin Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.