Gastroparesis primary prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Effective measures for the primary prevention of gastroparesis include strict glycemic control, nutritional therapies, having frequent, small meals that are low in fat and fiber, alcohol and smoking cessation, regular exercise and avoidance of medications that impair gastric motility.

Effective measures for the primary prevention of gastroparesis include:^[1]^[2]

Strict glycemic control
Maintaining a proper dietary and nutritional therapies by working with a registered dietician
Having frequent, small meals that are low in fat and fiber
- Fat, fiber, and large meals can delay stomach emptying and worsen symptoms
Keeping hydrated by drinking adequate amounts of water
Alcohol and smoking cessation
Regular exercise
Medications that impair gastric motility has to be stopped or dosage must be adjusted according to patients needs:^[3]

↑ Stein B, Everhart KK, Lacy BE (2015). “Gastroparesis: A Review of Current Diagnosis and Treatment Options”. J. Clin. Gastroenterol. 49 (7): 550–8. doi:10.1097/MCG.0000000000000320. PMID 25874755.
↑ Fontana RJ, Barnett JL (1996). “Jejunostomy tube placement in refractory diabetic gastroparesis: a retrospective review”. Am. J. Gastroenterol. 91 (10): 2174–8. PMID 8855743.
↑ Maurer AH, Krevsky B, Knight LC, Brown K (1996). “Opioid and opioid-like drug effects on whole-gut transit measured by scintigraphy”. J. Nucl. Med. 37 (5): 818–22. PMID 8965152.