Symptomatic Management of Gastroparesis

Gastrointest Endosc Clin N Am. 2019 Jan;29(1):55-70. doi: 10.1016/j.giec.2018.08.005. Epub 2018 Sep 11.

Abstract

Gastroparesis is a chronic and debilitating neuromuscular disorder of the upper gastrointestinal tract. Symptoms of gastroparesis include nausea, vomiting, epigastric pain, early satiety, and weight loss. Treating gastroparesis can be difficult. Dietary changes may improve symptoms in patients with mild disease. A variety of medications can be used to treat symptoms of nausea and vomiting, although most have not been subjected to randomized controlled trials and only one is approved by the Food and Drug Administration (metoclopramide). Pain management is essential, as nearly 90% of patients report symptoms of epigastric pain. This article reviews treatment options for symptoms of gastroparesis.

Keywords: Abdominal pain; Antiemetics; Diabetes; Gastroparesis; Nausea; Vomiting.

Publication types

  • Review

MeSH terms

  • Abdominal Pain / etiology
  • Abdominal Pain / therapy
  • Gastroparesis / complications
  • Gastroparesis / therapy*
  • Humans