Gastroparese

«Gastrointestinal motility dysfunction is postulated as a possible etiology in CVS. Abell et al. have shown that gastrointestinal dysmotility (hypermotility, hypomotility, or dysrhythmia) involving either the stomach or the small bowel is present even during asymptomatic periods in CVS patients.[14] Also, the number of emeses in children with CVS has been reported to decrease by administration of prokinetic agents.[31]

Similarly, in migraine patients Boyle et al.[32] showed that rates of delay in gastric emptying were significantly correlated with the severity of the migraine attacks. Aurora et al.[33] recently published a more direct study in a small group of patients with migraine and compared the patients’ gastric emptying with normal controls. They concluded that migraine patients have baseline delayed ictal and interictal gastric emptying with a greater delay in emptying occurring in the interictal phase.

However, contrary to all of the above, a prospective comparative study done at Mayo Clinic, Rochester showed that asymptomatic CVS patients have rapid early-phase (1 and 2 h) gastric emptying and are more likely to have accelerated phase two emptying in comparison to normal controls.[34]

The presence of gastric emptying abnormalities in both CVS and migraine emphasizes possible similarities in etiopathogenesis responsible for both disorders. However, it cannot be determined, from the current gastric emptying data, whether underlying gastrointestinal motility disorders are the cause of some episodes of CVS or if CVS results from central nervous system dysfunction that affects the gastrointestinal tract.»

Cyclic Vomiting Syndrome: What a Gastroenterologist Needs to Know

http://www.medscape.com/viewarticle/566670_6

Jeg var en tur på Ahus i forrige uke og hadde gastroskopi. Grunnen var at jeg også i mellom anfallene har anfall av magesmerter, og det kjennes ut som om hele magen har stoppet opp. Under gastroskopien ble det klart at jeg definitivt har gastroskopi (forsinket magetømming). Magen var ikke tømt, selvom det var 15 times siden jeg sist hadde spist.

Men gastro-legen mente at smertene jeg har ikke stammer fra gastroparesen, men at det muligens kan være uregelmessigheter i spiserøret. Jeg skal tilbake for yttligere testing.

Legen hadde faktisk hørt om CVS! Nå kan jeg ikke lengre si at jeg aldri har møtt noen som hadde hørt om CVS før de fikk meg som pasient! Det var så utrolig deilig. Bare det lille der gjorde meg så utrolig glad! Jeg er også glad for at han vil følge meg opp videre. :-)

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