Assessment of gastric emptying and small-bowel motility: scintigraphy, breath tests, manometry, and SmartPill.

Gastrointest Endosc Clin N Am

Temple University School of Medicine, Gastroenterology Section, Parkinson Pavilion, 3401 North Broad Street, Philadelphia, PA 19140, USA.

Published: January 2009

Gastric and small-bowel dysfunction can include gastroparesis, functional dyspepsia, and even irritable bowel syndrome. Patients with symptoms suggesting these disorders are commonly encountered by a variety of physicians, especially gastroenterologists. In most patients, the physical examination and upper endoscopy are normal, and thus symptoms are suggested to be from a motility disorder or a functional gastrointestinal disorder. Further evaluation directed at evaluating the stomach and small-bowel motility may help the clinician to arrive at a correct diagnosis enabling proper treatment of the patient. This article covers several tests that are used to evaluate gastric and small-bowel motility in patients, either in clinical evaluation or in clinical research.

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http://dx.doi.org/10.1016/j.giec.2008.12.003DOI Listing

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