Psychiatric aspects of gastroparesis

Glenn J. Treisman, Joyce E. King

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The term “gastroparesis” implies a partial or complete paralysis of the stomach as a result of muscle or nerve dysfunction. As this book will attest, gastroparesis is far more complex than this simple definition. Gastric emptying time may be normal and yet the patient may respond to the same treatments that work for other patients with study proven delayed gastric emptying. Is gastroparesis caused by dysbiosis, is it an autonomic neuropathic disorder, an autoimmune disorder, a problem of behavioral conditioning, or a central nervous system disorder? Patients may experience overlapping symptoms of nausea, vomiting, distension, abdominal pain, dysmotility, weight loss, early satiety, reflux, and others. This may generate a complex differential diagnosis that includes other conditions such as rumination, functional dyspepsia, somatization, eating disorder, and even Munchausen’s syndrome, to name but a few. Psychiatric conditions can occur as a result of gastroparesis, may be a causative or exacerbating factor in gastroparesis, and may confound the diagnosis and treatment of gastroparesis.

Original languageEnglish (US)
Title of host publicationGastroparesis
Subtitle of host publicationPathophysiology, Clinical Presentation, Diagnosis and Treatment
PublisherElsevier
Pages377-388
Number of pages12
ISBN (Electronic)9780128185865
DOIs
StatePublished - Jan 1 2020

Keywords

  • Extraversion and introversion
  • Gastroparesis
  • Major depression
  • Postural orthostatic tachycardia syndrome
  • Psychiatric disorders

ASJC Scopus subject areas

  • General Agricultural and Biological Sciences
  • General Biochemistry, Genetics and Molecular Biology

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