2023 update on the clinical management of gastroparesis

Halabi, Maan El; Parkman, Henry P.

doi:10.1080/17474124.2023.2196404

Cited by 4 publications

(3 citation statements)

References 60 publications

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“…3 Treatment may include smaller food portions, low-fat foods, and low-fiber foods. 3 Patients may selfimpose dietary restrictions, avoid certain foods, or modify foods to control symptoms. 4 If self-imposed diet restrictions/food avoidance behaviors go beyond that typical for a patient with a GI disorder, a concurrent eating disorder may be present.…”

Section: Introductionmentioning

confidence: 99%

“…In children and adults with Gp or FD, eating may exacerbate gastrointestinal (GI) symptoms 3 . Treatment may include smaller food portions, low‐fat foods, and low‐fiber foods 3 .…”

Section: Introductionmentioning

confidence: 99%

“…In children and adults with Gp or FD, eating may exacerbate gastrointestinal (GI) symptoms 3 . Treatment may include smaller food portions, low‐fat foods, and low‐fiber foods 3 . Patients may self‐impose dietary restrictions, avoid certain foods, or modify foods to control symptoms 4 .…”

Section: Introductionmentioning

confidence: 99%

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Avoidant/restrictive food intake disorder prevalence is high in children with gastroparesis and functional dyspepsia

Kaul,

Burton‐Murray,

Musaad

et al. 2024

Neurogastroenterology Motil

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BackgroundAvoidant/restrictive food intake disorder (ARFID) prevalence in children with gastroparesis (Gp) and/or functional dyspepsia (FD) is unknown. We aimed to identify ARFID prevalence and trajectory over 2 months in children with Gp, FD, and healthy children (HC) using two screening questionnaires. We also explored the frequency of a positive ARFID screen between those with/without delayed gastric emptying or abnormal fundic accommodation.MethodsIn this prospective longitudinal study conducted at an urban tertiary care hospital, patients ages 10–17 years with Gp or FD and age‐ and gender‐matched HC completed two validated ARFID screening tools at baseline and 2‐month follow‐up: the Nine Item ARFID Screen (NIAS) and the Pica, ARFID, and Rumination Disorder Interview‐ARFID Questionnaire (PARDI‐AR‐Q). Gastric retention and fundic accommodation (for Gp and FD) were determined from gastric emptying scintigraphy.Key ResultsAt baseline, the proportion of children screening positive for ARFID on the NIAS versus PARDI‐AR‐Q was Gp: 48.5% versus 63.6%, FD: 66.7% versus 65.2%, HC: 15.3% versus 9.7%, respectively; p < 0.0001 across groups. Of children who screened positive at baseline and participated in the follow‐up, 71.9% and 53.3% were positive 2 months later (NIAS versus PARDI‐AR‐Q, respectively). A positive ARFID screen in Gp or FD was not related to the presence/absence of delayed gastric retention or abnormal fundic accommodation.Conclusions & InferencesARFID detected from screening questionnaires is highly prevalent among children with Gp and FD and persists for at least 2 months in a substantial proportion of children. Children with these disorders should be screened for ARFID.

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Section: Introductionmentioning

confidence: 99%

“…In children and adults with Gp or FD, eating may exacerbate gastrointestinal (GI) symptoms 3 . Treatment may include smaller food portions, low‐fat foods, and low‐fiber foods 3 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Avoidant/restrictive food intake disorder prevalence is high in children with gastroparesis and functional dyspepsia

Kaul,

Burton‐Murray,

Musaad

et al. 2024

Neurogastroenterology Motil

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Patología motora y trastornos del vaciamiento gástrico

Enciso,

Soto,

Martín-Arranz

2024

Medicine - Programa de Formación Médica Continuada Acreditado

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Nutritional aspects in patients with gastroparesis

Wierzbicka,

Ukleja

2024

Current Opinion in Gastroenterology

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Purpose of the review The purpose of this review was to highlight most recent updates on nutritional aspects in gastroparesis (GP) focusing on dietary recommendations, utilization of enteral and parenteral nutrition, endoscopic and surgical interventions. Recent findings Recent data addressed eating patterns, nutritional interventions, and clarifications on the role of endoscopic and surgical interventions underlying an impact on nutritional management of GP patients. They support the importance of gastroparesis-specific diet in addition to drug therapy, and confirm the benefits of a modified low-fat, low-fiber diet. Current guidelines suggest a new approach to GP management based on predominant symptoms. Gastric peroral endoscopic pyloromyotomy (G-POEM) and surgical gastric electrical stimulator (GES) placement may be considered in individuals with nausea and vomiting before the need for jejunostomy tube placement for enteral feeding or parenteral nutrition. Summary Current literature supports the importance of dietary interventions, focusing on low-fat and low-fiber diets, in addition to drug therapies. Severely fiber-restrictive diets may not be necessary. There is enhanced understanding when jejunal feeding should be incorporated for refractory cases with consideration of G-POEM or/and GES even before jejunal tube placement. This approach will require patient evaluation in specialized motility centers.

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2023 update on the clinical management of gastroparesis

Cited by 4 publications

References 60 publications

Avoidant/restrictive food intake disorder prevalence is high in children with gastroparesis and functional dyspepsia

Avoidant/restrictive food intake disorder prevalence is high in children with gastroparesis and functional dyspepsia

Patología motora y trastornos del vaciamiento gástrico

Nutritional aspects in patients with gastroparesis

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