Causes

Conditions associated with acute gastric retention are summarized in Table..2,. Chronic problems with gastric emptying may become evident when nasogastric feeding and regular gastric aspiration are needed during critical illness (e.g. gastric outlet obstruction from scarring or tumor, diabetic gastroparesis, hypothyroidism, or previous truncal vagotomy). Intolerance to intragastric feeding is particularly common in patients with traumatic brain injury and is independent of the opiates that many receive.

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Table 2 Conditions associated with acute gastric retention

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