gastro-jРоссийский журнал гастроэнтерологии, гепатологии, колопроктологииRussian Journal of Gastroenterology, Hepatology, Coloproctology1382-43762658-6673«Gastro» LLCgastro-j-1209Research ArticleОБМЕН ОПЫТОМEXCHANG OF EXPERIENCEОсобенности клиники, диагностики и лечения идиопатического гастропареза (Обзор литературы и описание собственного наблюдения)Features of clinical presentation, diagnostics and treatment of idiopathic gastroparesis (Review of literature and case presentation)ЕвсютинаЮ. В.YevsyutinaYu. V.ЛяшенкоО. С.LyashenkoO. S.ПолуэктоваЕ. А.PoluektovaYe. A.ЛемешкоЗ. А.LemeshkoZ. A.ШептулинА. А.SheptulinA. A.ИвашкинВ. Т.IvashkinV. T.ГБОУ ВПО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава РФРоссияState educational government-financed institution of higher professional education «Sechenov First Moscow state medical university», Ministry of Healthcare of the Russian FederationRussian Federation2013200720132337984Copyright © Евсютина Ю.В., Ляшенко О.С., Полуэктова Е.А., Лемешко З.А., Шептулин А.А., Ивашкин В.Т., 20132013Евсютина Ю.В., Ляшенко О.С., Полуэктова Е.А., Лемешко З.А., Шептулин А.А., Ивашкин В.Т.Yevsyutina Y.V., Lyashenko O.S., Poluektova Y.A., Lemeshko Z.A., Sheptulin A.A., Ivashkin V.T.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gastro-j.ru/jour/article/view/1209

Цель обзора. Провести анализ работ, посвященных проблеме идиопатического гастропареза (ИГ) и представить собственное наблюдение больной с данным заболеванием.Основные положения. ИГ является частым проявлением нарушенной эвакуаторной функции желудка. Одной из основных причин его возникновения служат психоэмоциональные факторы. В диагностике гастропараза важную роль играют ультразвуковой и рентгенологический методы исследования, сцинтиграфия, дыхательный тест с 13С-октановой кислотой. Основное место в лечении ИГ отводится прокинетикам (в частности, домперидону).Заключение. ИГ достаточно часто встречается в практике врача-гастроэнтеролога. Лечение таких больных во многих случаях должно проводиться с участием психиатра.

The aim of review

The aim of review. To analyse publications devoted to idiopathic gastroparesis (IG) issue and present original case of this disease.

Key points

Key points. IG is a common manifestation of impaired evacuatory function of the stomach. Psychoemotional factors represent one of its principal causes. Ultrasound and roentgenologic investigations, scintigraphy, 13С-octanoic acid breath test play important role in diagnostics of gastroparesis. Prokinetics (in particular, domperidone) occupy the main place in the treatment of IG.

Conclusion

Conclusion.  IG is quite common in the practice of gastroenterologist. Treatment of such patients in many cases should be carried out along with psychiatrist.

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The authors declare that there are no conflicts of interest present.