Abstract

Gastroparesis is a chronic symptomatic disorder of the stomach characterized by delayed gastric emptying without mechanical obstruction. Symptoms from gastroparesis include nausea, vomiting, early satiety, postprandial fullness, and in some patients, abdominal pain. Management of gastroparesis involves assessment and correction of dehydration and malnutrition if present, maintaining nutritional intake, relief of symptoms, improvement of gastric emptying, dietary modifications, and glycemic control in diabetics. Medical treatment comprises of prokinetic and antiemetic therapies. For refractory cases, jejunostomy feeding tube, gastric electric stimulator and/or pyloromyotomy may be considered. New medical and surgical treatment modalities for gastroparesis are currently being studied.

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