Retroperistalsis

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Retroperistalsis
Synonyms Reverse peristalsis
Pronounce N/A
Specialty N/A
Symptoms Nausea, vomiting, regurgitation
Complications Aspiration pneumonia, esophagitis
Onset Can occur at any age
Duration Varies
Types N/A
Causes Gastrointestinal obstruction, gastroenteritis, motion sickness, pregnancy, chemotherapy
Risks Dehydration, electrolyte imbalance
Diagnosis Clinical diagnosis, endoscopy, barium swallow
Differential diagnosis Gastroesophageal reflux disease, cyclic vomiting syndrome, rumination syndrome
Prevention N/A
Treatment Antiemetics, prokinetics, hydration therapy
Medication N/A
Prognosis Generally good with treatment
Frequency Common
Deaths N/A


Retroperistalsis is a backward movement of food in the digestive tract. It is the opposite of peristalsis, which is the normal downward movement of food from the esophagus to the stomach. Retroperistalsis usually occurs as a precursor to vomiting.

Overview

Retroperistalsis starts from the middle of the small intestine and sweeps up digestive tract contents into the stomach, through the relaxed pyloric sphincter. From here, the abdominal muscles contract and force the stomach contents up the esophagus and out the mouth.

Causes

Retroperistalsis can be triggered by a number of factors, including:

Treatment

Treatment for retroperistalsis depends on the underlying cause. In many cases, it may be necessary to treat the symptoms of vomiting, such as by rehydrating the body and using medications to reduce nausea and vomiting. In other cases, it may be necessary to treat the underlying condition causing retroperistalsis.

See also

References

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Contributors: Prab R. Tumpati, MD