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[Gastroparesis may be the cause of unexplained dyspepsia in patients with primary Sjögren syndrome].
- Source :
-
La Revue de medecine interne [Rev Med Interne] 2018 Jun; Vol. 39 (6), pp. 427-430. Date of Electronic Publication: 2018 Mar 08. - Publication Year :
- 2018
-
Abstract
- Introduction: Upper digestive symptoms may be present in up to 50% of patients with primary Sjögren syndrome (pSS). We report a retrospective cohort of gastroparesis in a population of pSS presenting unexplained dyspepsia. Delayed gastric emptying was defined by a gastric emptying time above 113min or by a retention percentage at 4h more than 10% on scintigraphy.<br />Results: Eleven patients with primary Sjögren syndrome and gastroparesis were included in a retrospective study. Every patients were women of age 48±18y. The average time of gastric emptying was 725,18±704,45min. 64% of patients had abdominal pain or gastric heaviness. A central or peripheral neurologic involvement was described in respectively 9 and 27% of cases. The diagnostic delay of gastroparesis was higher than 24 months.<br />Conclusion: In primary Sjögren syndrome, gastroparesis should be suspected in case of unexplained dyspepsia, and a scintigraphy performed to prove the diagnosis. A neurologic involvement could explain gastroparesis, but prospective studies are needed for a better understanding of this disorder.<br /> (Copyright © 2018 Société Nationale Française de Médecine Interne (SNFMI). Published by Elsevier SAS. All rights reserved.)
- Subjects :
- Adult
Aged
Delayed Diagnosis
Dyspepsia diagnosis
Dyspepsia epidemiology
Dyspepsia therapy
Female
Gastroparesis diagnosis
Gastroparesis epidemiology
Gastroparesis therapy
Humans
Middle Aged
Radionuclide Imaging
Retrospective Studies
Sjogren's Syndrome epidemiology
Sjogren's Syndrome therapy
Dyspepsia etiology
Gastroparesis complications
Sjogren's Syndrome complications
Subjects
Details
- Language :
- French
- ISSN :
- 1768-3122
- Volume :
- 39
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- La Revue de medecine interne
- Publication Type :
- Academic Journal
- Accession number :
- 29526328
- Full Text :
- https://doi.org/10.1016/j.revmed.2018.02.007