First-Line Treatment of Gastroparesis: Dietary and Nutritional Management
Clinical Context
This first-line protocol addresses gastroparesis through dietary and nutritional management, targeting measurable improvements in tolerance and adequate nutritional intake.
Treatment Goals
Symptom relief and enhanced gastric emptying.
Approach (Partial Overview)
Management begins with a structured dietary modification strategy; nutritional support is escalated when oral intake proves insufficient — full details in the protocol.
References
DOI: 10.14309/ajg.0000000000001874
- Dietary management of GP should include a small particle diet to increase likelihood of symptom relief and enhance GE (conditional recommendation, low quality of evidence).
- Patient nutritional state should be managed by oral dietary modifications and, if oral intake is not adequate, by enteral nutrition through jejunostomy tube or rarely parenteral nutrition.
- Small particle, low-fat diets were significantly better tolerated than the converse, with jejunal nutrition before consuming oral food significantly improving oral intake and motility.
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