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Nutrition Intervention for the Patient with Gastroparesis ...

Nutrition ISSUES IN GASTROENTEROLOGY, SERIES #30. Carol Rees Parrish, RD, MS, Series Editor Nutrition Intervention for the Patient with Gastroparesis : An Update Carol Rees Parrish Cynthia M. Yoshida Gastroparesis , or delayed gastric emptying, has many origins. The clinical presentation may wax and wane depending on the underlying etiology. However, once a Patient develops protracted nausea and vomiting, providing adequate Nutrition , hydration and access to therapeutics such as prokinetics and antiemetics can present a unique chal- lenge to clinicians. This article provides suggested guidelines to assess the nutritional status of patients with Gastroparesis and strategies to treat the nutritional issues that arise in this Patient population. INTRODUCTION ics and antiemetics can present a unique challenge to valuation of nutritional status and the treatment of clinicians.

Serum glucose and HgbA1C. Glycemic control is crit-ical in the management of diabetic gastroparesis. Hyper-glycemia (>200 mg %) can cause transient gastroparesis in some patients and this delayed gastric emptying can respond quickly to normalization of serum glucose lev-els (12,13). Ad ditionally, hyperglycemia has been shown

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