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	<title>Advances in medicine</title>
	
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		<title>Gastroparesis: MANAGEMENT OF GASTROPARESIS ASSOCIATED WITH GASTROINTESTINAL SYMPTOMS Part 4</title>
		<link>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-4.html</link>
		<comments>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-4.html#comments</comments>
		<pubDate>Wed, 09 May 2012 14:14:39 +0000</pubDate>
		<dc:creator>James</dc:creator>
				<category><![CDATA[Gastroparesis]]></category>
		<category><![CDATA[Gastric emptying]]></category>

		<guid isPermaLink="false">http://www.advances-in-medicine.com/?p=3138</guid>
		<description><![CDATA[Treatment of symptomatic gastroparesis is certainly not uniformly satisfactory, and novel therapeutic options are needed. Levosulpiride is a dopamine2 antagonist/5-HT4 agonist in development. There may be therapeutic advantages to combining drugs that have different mechanisms of action, such as cisapride and domperidone. (The combination of cisapride with erythromycin is usually contraindicated.) The recognition of the [...]]]></description>
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		<title>Gastroparesis: MANAGEMENT OF GASTROPARESIS ASSOCIATED WITH GASTROINTESTINAL SYMPTOMS Part 3</title>
		<link>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-3.html</link>
		<comments>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-3.html#comments</comments>
		<pubDate>Mon, 07 May 2012 17:46:37 +0000</pubDate>
		<dc:creator>James</dc:creator>
				<category><![CDATA[Gastroparesis]]></category>
		<category><![CDATA[Gastric emptying]]></category>

		<guid isPermaLink="false">http://www.advances-in-medicine.com/?p=3154</guid>
		<description><![CDATA[Erythromycin is the most potent drug when given intravenously (in doses of approximately 3 mg/kg or less) and may be particularly useful in the initial phase of management. When used orally, erythromycin may have greater efficacy when given as a suspension, rather than as a tablet, but is still probably less effective than when given [...]]]></description>
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		<title>Gastroparesis: MANAGEMENT OF GASTROPARESIS ASSOCIATED WITH GASTROINTESTINAL SYMPTOMS Part 2</title>
		<link>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-2.html</link>
		<comments>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-2.html#comments</comments>
		<pubDate>Fri, 04 May 2012 12:32:33 +0000</pubDate>
		<dc:creator>James</dc:creator>
				<category><![CDATA[Gastroparesis]]></category>
		<category><![CDATA[Gastric emptying]]></category>

		<guid isPermaLink="false">http://www.advances-in-medicine.com/?p=3140</guid>
		<description><![CDATA[The use of prokinetic drugs (cisapride, domperidone, metoclopramide and erythromycin) is the mainstay of therapy, and most patients require drug treatment. In general, these drugs all provide dose-related improvements in gastric emptying, although their mechanisms of action differ (Table 2). The response to prokinetic therapy tends to be greater when gastric emptying is more delayed. [...]]]></description>
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		<item>
		<title>Gastroparesis: MANAGEMENT OF GASTROPARESIS ASSOCIATED WITH GASTROINTESTINAL SYMPTOMS Part 1</title>
		<link>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-1.html</link>
		<comments>http://www.advances-in-medicine.com/2012/05/gastroparesis-management-of-gastroparesis-associated-with-gastrointestinal-symptoms-part-1.html#comments</comments>
		<pubDate>Thu, 03 May 2012 13:43:39 +0000</pubDate>
		<dc:creator>James</dc:creator>
				<category><![CDATA[Gastroparesis]]></category>
		<category><![CDATA[Gastric emptying]]></category>

		<guid isPermaLink="false">http://www.advances-in-medicine.com/?p=3137</guid>
		<description><![CDATA[The management of gastroparesis is often challenging. In any patient who presents with upper gastrointestinal symptoms and a suspected delay in gastric emptying, a comprehensive history and examination should be performed, followed by appropriate investigation to identify (particularly reversible) causes of gastroparesis. Upper gastrointestinal endoscopy is usually required to exclude gastric outlet or proximal small [...]]]></description>
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		<title>Gastroparesis: DIAGNOSIS</title>
		<link>http://www.advances-in-medicine.com/2012/05/gastroparesis-diagnosis.html</link>
		<comments>http://www.advances-in-medicine.com/2012/05/gastroparesis-diagnosis.html#comments</comments>
		<pubDate>Wed, 02 May 2012 14:26:14 +0000</pubDate>
		<dc:creator>James</dc:creator>
				<category><![CDATA[Gastroparesis]]></category>
		<category><![CDATA[Gastric emptying]]></category>

		<guid isPermaLink="false">http://www.advances-in-medicine.com/?p=3131</guid>
		<description><![CDATA[Although other tests show promise, scintigraphy is the most accurate and arguably the only clinically useful assessment of gastric motility. Unfortunately, there is a lack of standardization of scintigraphic techniques, with substantial variation among different centres, particularly with respect to the choice of test meal and the calculation of gastric emptying rates. Therefore, each laboratory [...]]]></description>
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		<title>Gastroparesis: CLINICAL FEATURES Part 3</title>
		<link>http://www.advances-in-medicine.com/2012/05/gastroparesis-clinical-features-part-3.html</link>
		<comments>http://www.advances-in-medicine.com/2012/05/gastroparesis-clinical-features-part-3.html#comments</comments>
		<pubDate>Tue, 01 May 2012 13:12:01 +0000</pubDate>
		<dc:creator>James</dc:creator>
				<category><![CDATA[Gastroparesis]]></category>
		<category><![CDATA[Gastric emptying]]></category>

		<guid isPermaLink="false">http://www.advances-in-medicine.com/?p=3122</guid>
		<description><![CDATA[Alterations in glycemic control: Potential determinants of postprandial blood glucose concentrations include the delivery of nutrients to the small intestine, small intestinal absorption and hepatic glucose metabolism. While the relative contribution of each of these factors is controversial and likely to vary with time after a meal, it is clear that gastric emptying is a major [...]]]></description>
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		<title>Gastroparesis: CLINICAL FEATURES Part 2</title>
		<link>http://www.advances-in-medicine.com/2012/04/gastroparesis-clinical-features-part-2.html</link>
		<comments>http://www.advances-in-medicine.com/2012/04/gastroparesis-clinical-features-part-2.html#comments</comments>
		<pubDate>Mon, 30 Apr 2012 14:28:50 +0000</pubDate>
		<dc:creator>James</dc:creator>
				<category><![CDATA[Gastroparesis]]></category>
		<category><![CDATA[Gastric emptying]]></category>

		<guid isPermaLink="false">http://www.advances-in-medicine.com/?p=3118</guid>
		<description><![CDATA[Oral drug absorption: Gastric emptying is an important determinant of oral drug absorption; most orally administered drugs (including alcohol) are absorbed more slowly from the stomach than from the small intestine, because the latter has a much greater surface area. Thus, delayed gastric emptying (particularly that of tablets or capsules that are not degraded easily [...]]]></description>
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