Gastroparesis primary prevention

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

Primary Prevention

• There is no scientific evidence to make appropriate recommendations for the primary prevention of gastroparesis.
• How, ever depending upon the underlying etiology, effective measures for the primary prevention of gastroparesis include:
  • 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
  • Small particle diet (consisting of soft, digestible foods and lacking in peels, membranes, seeds, etc.) resulted in improvement in several cardinal GP symptoms when compared with a standard diet.
  • Medications that impair gastric motility has to be stopped or dosage must be adjusted according to patients needs
    • Anticholinergic agents
    • GLP-1 analogs 
    • Opiates