Delayed gastric emptying with no physical obstruction

Aetiology

• Idiopathic
• Diabetes mellitus
• Cannabis
• Medication e.g. opiates, anticholinergics
• Systemic diseases e.g. systemic sclerosis

Clinical features

• Feeling of fullness
• Nausea and vomiting
• Weight loss
• Upper abdominal pain

Investigations

• Gastric emptying study

Management

• Removal of precipitating factors
• Liquid/sloppy diet
• Eat little and often
• Promotility agents
• Gastric pacemaker