{"id":5457,"date":"2019-11-03T22:27:42","date_gmt":"2019-11-03T22:27:42","guid":{"rendered":"https:\/\/www.institutoendoscopiaavanzada.com\/2019\/11\/03\/gastroparesia\/"},"modified":"2023-11-07T16:36:36","modified_gmt":"2023-11-07T16:36:36","slug":"gastroparesia","status":"publish","type":"post","link":"https:\/\/www.institutoendoscopiaavanzada.com\/en\/gastroparesia\/","title":{"rendered":"Gastroparesis"},"content":{"rendered":"<div class=\"lRu31\"><strong><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">WHAT IS GASTROPARESIA?<\/span><\/span><\/span><\/strong><\/div>\n<p><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">Gastroparesis is an alteration that consists of a decrease in the movements of the stomach, so the process of crushing and subsequent exit from the stomach will be slow and ineffective and the food will pass from the stomach to the intestine will occur more slowly than normal.<\/span><\/span><\/span><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<div class=\"lRu31\"><strong><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">WHAT DISCOMFORT DOES IT CAUSE?<\/span><\/span><\/span><\/strong><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; <\/span><\/span><\/span><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">Feeling of being excessively full after meals that have not been very abundant; This sensation lasts until the next meal. <\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; Swelling of the belly or stomach after the main meals. <\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; Feeling of satiety without being able to finish a normal meal. <\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; Nausea and vomiting usually after eating; It is characteristic that vomiting occurs several hours after meals and that food eaten in previous meals can be recognized. <\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; Progressive weight loss.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><strong><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">WHY DOES IT OCCUR?<\/span><\/span><\/span><\/strong><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">It appears when there is a deterioration of the muscles that form the walls of the stomach and\/or the nerves that regulate its functioning. In many, the cause of this lesion is unknown (idiopathic gastroparesis). Other times it can be secondary to diseases that can affect the muscles and nerves of the digestive tract, such as: <\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; Diabetes mellitus: it is the most common cause of gastroparesis; It is usually a diabetes that appears in youth, has a long evolution and is difficult to control and with other complications such as kidney, eye, etc. <\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; Post-surgical: after some interventions on the stomach such as when the nerves are cut (vagotomy) or when a part is removed (partial gastrectomy), or interventions on the esophagus or lungs in which, accidentally, the nerves are injured. vagus nerves that regulate the functioning of the stomach.<\/span><\/span><\/span><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; Systemic diseases such as scleroderma, dermatomyositis and lupus erythematosus.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">&#8211; When there is a general disorder of the movements of the digestive tract (chronic intestinal pseudo-obstruction).<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><strong><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">How is it treated?<\/span><\/span><\/span><\/strong><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">Until very recently there were no techniques with good results for this problem.<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">Diets and medications only temporarily relieve symptoms.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">The gastric pacemaker has irregular results and is rarely used, and BOTOX only offers improvement for 6 months.<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">After this, the symptoms reappear again.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">Surgical treatment requires removing a large part of the stomach, if not all, and part of the intestine, which is aggressive.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><strong><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">Gastric POEM.<\/span><\/span><\/span><\/strong><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">It consists of performing an endoscopic section of the pyloric sphincter, the muscle located at the junction between the stomach and the small intestine, which reduces the resistance to the exit of food, and although the propulsive force of the stomach is not modified if<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">We make it empty more easily since it does not have to overcome the resistance of the pyloric muscle.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">It is one of the new minimally aggressive tunneling and endoscopic surgery techniques.<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">The advantage of this technique is that it produces improvement in symptoms in many patients, and until now there was nothing that had acceptable results with low complication rates.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div><span class=\"HwtZe\" lang=\"en\"> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">It is performed in the operating room and under orotracheal intubation and lasts approximately 90 minutes, with expected discharge in less than 48 hours.<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">In the Unit, the gastric-POEM technique is performed, which is the best treatment to offer to patients with gastroparesis and which is currently available in very few National centers and none in the private sector.<\/span><\/span><\/span><\/div>\n<div><\/div>\n<div class=\"lRu31\"><span class=\"HwtZe\" lang=\"en\"><span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">The gastric POEM consists of making a small incision in the gastric mucosa, about 2 centimeters, to subsequently create a tunnel in the submucosa between the mucosa and muscular layers of the stomach.<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">Later the tunnel extends until it reaches the pylorus.<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">At this time, the myotomy, or cut of the pyloric muscle, is performed, leaving the mucosa intact, which will later cover this cut.<\/span><\/span> <span class=\"jCAhz ChMk0b\"><span class=\"ryNqvb\">The technique ends by suturing the entry hole to the mucosa with staples.<\/span><\/span><\/span><\/div>\n","protected":false},"excerpt":{"rendered":"<p>WHAT IS GASTROPARESIA? Gastroparesis is an alteration that consists of a decrease in the movements of the stomach, so the process of crushing and subsequent exit from the stomach will [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":5331,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[25],"tags":[],"class_list":["post-5457","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diseases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Gastroparesis - Instituto de Endoscopia Digestiva Avanzada<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.institutoendoscopiaavanzada.com\/gastroparesia\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gastroparesis - Instituto de Endoscopia Digestiva Avanzada\" \/>\n<meta property=\"og:description\" content=\"WHAT IS GASTROPARESIA? 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