Reply

We thank Drs Rashtak and Murray for their comments related to our recently published review article “Persistent nausea and abdominal pain in a patient with delayed gastric emptying.”1 They raise the issue of celiac disease as a cause of the patient's delayed gastric emptying and symptoms. In reviewing our case presentation of a 46-year-old woman with persistent nausea, abdominal pain, and delayed gastric emptying, an upper endoscopy was normal including the duodenum. Neither biopsies nor blood studies for tissue transglutaminase antibodies were obtained. She was treated for idiopathic gastroparesis with improvement of her symptoms.