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Post‐infectious gastroparesis: Clinical and electerogastrographic aspects
Author(s) -
Naftali Timna,
Yishai Ron,
Zangen Tsili,
Levine Arie
Publication year - 2007
Publication title -
journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.214
H-Index - 130
eISSN - 1440-1746
pISSN - 0815-9319
DOI - 10.1111/j.1440-1746.2006.04738.x
Subject(s) - gastroparesis , medicine , pathological , cytomegalovirus , gastric emptying , disease , virus , gastroenterology , viral disease , herpesviridae , stomach , immunology
Aims: Post‐infectious gastroparesis (PIGP) is a subgroup of idiopathic gastroparesis. The aim of this study was to identify post‐viral gastroparesis and to characterize clinical and electrogastrographic aspects of the disease and their usefulness as a diagnostic tool. Methods: Patients diagnosed with gastroparesis were defined as PIGP if they had a clear history of an acute viral illness prior to the development of their symptoms. All patients underwent evaluation of gastric emptying and electrogastrography (EGG). Results: Seven patients met the criteria for diagnosis of PIGP. Patients' age ranged from 3 months to 47 years. A specific virus was identified in two patients (one cytomegalovirus [CMV] and one Epstein‐Barr virus [EBV]). EGG was pathological in six out of seven patients. In four out of seven patients, symptoms resolved spontaneously within 4 weeks to 12 months, three patients had improved but were still symptomatic at the time of the writing of this work. Conclusion: We conclude that post‐infectious gastroparesis is an uncommon and often over looked condition. It is self‐limiting in most cases. EGG is pathological in most patients.