Gastroparesis: an evidence-based review for the bariatric and foregut surgeon

Surg Obes Relat Dis. 2023 May;19(5):403-420. doi: 10.1016/j.soard.2023.02.018. Epub 2023 Mar 4.

Abstract

Gastroparesis is a gastric motility disorder characterized by delayed gastric emptying. It is a rare disease and difficult to treat effectively; management is a dilemma for gastroenterologists and surgeons alike. We conducted a systematic review of the literature to evaluate current diagnostic tools as well as treatment options. We describe key elements in the pathophysiology of the disease, in addition to current evidence on treatment alternatives, including nutritional considerations, medical and surgical options, and related outcomes.

Keywords: Abdominal pain; Antiemetics; Bariatric surgery; Diabetes; Epigastric pain; G-POEM; Gastric distension; Gastric dysmotility; Gastric emptying; Gastroparesis; Gastrostomy; Laparoscopy; Metoclopramide; Morbid obesity; Nausea; Obesity; PEG; POP; Pyloroplasty; Sleeve gastrectomy; Vomiting.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Gastric Emptying
  • Gastroparesis* / diagnosis
  • Gastroparesis* / etiology
  • Gastroparesis* / surgery
  • Humans
  • Surgeons*