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

Sergio J. Bardaro, Department of Surgery, The MetroHealth System, Case Western Reserve University, Cleveland, Ohio. Electronic address: sbardaro@metrohealth.org.
Alfredo D. Guerron, Department of Surgery, Cleveland Clinic Foundation, Abu Dhabi, United Arab Emirates.
John Romanelli, Department of Surgery, Baystate Healthcare, University of Massachusetts Medical School, Springfield, Massachusetts.
Ian Soriano, Department of Surgery, University of California, San Francisco, California.
Keith King, Advanced Surgical & Bariatrics of New Jersey, Somerset, New Jersey.
Karen E. Gibbs, Department of Surgery, Yale University, Yale New Haven Health, Bridgeport, Connecticut.Follow
Anthony Petrick, Department of Surgery, Geisinger Medical Center, Danville, Pennsylvania.
Emanuele Lo Menzo, Department of Surgery, Cleveland Clinic Foundation, Weston, Florida.
Raul Rosenthal, Department of Surgery, Cleveland Clinic Foundation, Weston, Florida.
Colleen Kennedy, Kennedy Bariatrics, Dallas, Texas.
Victoria Gershuni, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
Shaun Daly, Department of Surgery, University of California, Irvine, California.
Adolfo Leyva-Alvizo, Cirugía Digestiva y de Obesidad, Hospital Zambrano-Hellion, Monterrey, Mexico.
Michael Tran, Department of Surgery, University of California, Irvine, California.
Vasanth Stalin, Department of Surgery, Ascension St. Mary's Hospital, Central Michigan University, Saginaw, Michigan.
Shanu Kothari, Department of Surgery, Prisma Health, University of South Carolina, Greenville, South Carolina.
Ranjan Sudan, Department of Surgery, Duke University, Durham, North Carolina.

Document Type

Article

Publication Title

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery

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.

First Page

403

Last Page

420

DOI

10.1016/j.soard.2023.02.018

Publication Date

5-1-2023

Identifier

37080885 (pubmed); 10.1016/j.soard.2023.02.018 (doi); S1550-7289(23)00096-5 (pii)

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