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Marijuana Use in Patients with Symptoms of Gastroparesis: Prevalence, Patient Characteristics, and Perceived Benefit.

Abstract：

BACKGROUND:Marijuana may be used by some patients with gastroparesis (Gp) for its potential antiemetic, orexigenic, and pain-relieving effects. AIMS:The aim of this study was to describe the use of marijuana by patients for symptoms of Gp, assessing prevalence of use, patient characteristics, and patients' perceived benefit on their symptoms of Gp. METHODS:Patients with symptoms of Gp underwent history and physical examination, gastric emptying scintigraphy, and questionnaires assessing symptoms. Patients were asked about the current use of medications and alternative medications including marijuana. RESULTS:Fifty-nine of 506 (11.7%) patients with symptoms of Gp reported current marijuana use, being similar among patients with delayed and normal gastric emptying and similar in idiopathic and diabetic patients. Patients using marijuana were younger, more often current tobacco smokers, less likely to be a college graduate, married or have income > $50,000. Patients using marijuana had higher nausea/vomiting subscore (2.7 vs 2.1; p = 0.002), higher upper abdominal pain subscore (3.5 vs 2.9; p = 0.003), more likely to be using promethazine (37 vs 25%; p = 0.05) and dronabinol (17 vs 3%; p < 0.0001). Of patients using marijuana, 51% had been using it for more than 2 years, 47% were using this once or more per day, and 81% of marijuana users rated their benefit from marijuana as better or much better. CONCLUSIONS:A subset of patients (12%) with symptoms of Gp use marijuana. Patients with severe nausea and abdominal pain were more likely to use marijuana and perceive it to be beneficial for their symptoms. TRIAL REGISTRATION:ClinicalTrials.gov Identifier: NCT01696747.

journal_name

Dig Dis Sci

journal_title

Digestive diseases and sciences

authors

Parkman HP,Sharkey EP,Nguyen LA,Yates KP,Abell TL,Hasler WL,Snape W,Clarke J,Schey R,Koch KL,Kuo B,McCallum RW,Sarosiek I,Grover M,Farrugia G,Tonascia J,Pasricha PJ,Frank A. Hamilton for the NIH Gastroparesis Consortium

doi

10.1007/s10620-019-05963-2

subject

Has Abstract

pub_date

2020-08-01 00:00:00

pages

2311-2320

issue

eissn

0163-2116

issn

1573-2568

pii

10.1007/s10620-019-05963-2

journal_volume

pub_type

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Marijuana Use in Patients with Symptoms of Gastroparesis: Prevalence, Patient Characteristics, and Perceived Benefit.