Gut tutorials
A patient with impaired gastric motility
1 Department of Gastroenterology, Hope Hospital, Salford, UK
2 Department of Histopathology, Hope Hospital, Salford, UK
3 Department of Radiology, Hope Hospital, Salford, UK
4 Barts and the London, Queen Mary School of Medicine and Dentistry, University of London, UK
Correspondence to:
P A Paine, Department of Gostroenterology, Hope Hospital, Salford, UK; peterhazel@talk21.com
| The first 150 words of the full text of this article appear below. |
This is an introduction to the Gut tutorial "A patient with impaired gastric motility" hosted on BMJ Learning—the best available learning website for medical professionals from the BMJ Group.
The functional as opposed to inflammatory effects of gastrointestinal pathology are often neglected by clinicians. Helicobacter pylori infection may impair gastric function either due to the oedema associated with antral gastritis leading to gastric outlet obstruction or due to gastroparesis caused by release of inflammatory and immune mediators. Use of Giemsa stains alongside H & E and concurrent urease test increases the yield of H pylori when the clinical suspicion is strong. Gastric outlet obstruction due to H pylori infection is usually associated with peptic ulceration and narrowing of the pylorus or duodenum and eradication therapy can be an effective treatment. However, the evidence for an association between H pylori infection and impaired gastric motor function is conflicting. As malignancy is
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