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

Sergio J Bardaro; Alfredo D Guerron; John Romanelli; Ian Soriano; Keith King; Karen E Gibbs; Anthony Petrick; Emanuele Lo Menzo; Raul Rosenthal; Colleen Kennedy; Victoria Gershuni; Shaun Daly; Adolfo Leyva-Alvizo; Michael Tran; Vasanth Stalin; Shanu Kothari; Ranjan Sudan

doi:10.1016/j.soard.2023.02.018

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

Surg Obes Relat Dis. 2023 May;19(5):403-420. doi: 10.1016/j.soard.2023.02.018. Epub 2023 Mar 4.

Authors

Sergio J Bardaro¹, Alfredo D Guerron², John Romanelli³, Ian Soriano⁴, Keith King⁵, Karen E Gibbs⁶, Anthony Petrick⁷, Emanuele Lo Menzo⁸, Raul Rosenthal⁸, Colleen Kennedy⁹, Victoria Gershuni¹⁰, Shaun Daly¹¹, Adolfo Leyva-Alvizo¹², Michael Tran¹¹, Vasanth Stalin¹³, Shanu Kothari¹⁴, Ranjan Sudan¹⁵

Affiliations

¹ Department of Surgery, The MetroHealth System, Case Western Reserve University, Cleveland, Ohio. Electronic address: [email protected].
² Department of Surgery, Cleveland Clinic Foundation, Abu Dhabi, United Arab Emirates.
³ Department of Surgery, Baystate Healthcare, University of Massachusetts Medical School, Springfield, Massachusetts.
⁴ Department of Surgery, University of California, San Francisco, California.
⁵ Advanced Surgical & Bariatrics of New Jersey, Somerset, New Jersey.
⁶ Department of Surgery, Yale University, Yale New Haven Health, Bridgeport, Connecticut.
⁷ Department of Surgery, Geisinger Medical Center, Danville, Pennsylvania.
⁸ Department of Surgery, Cleveland Clinic Foundation, Weston, Florida.
⁹ Kennedy Bariatrics, Dallas, Texas.
¹⁰ Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania.
¹¹ Department of Surgery, University of California, Irvine, California.
¹² Cirugía Digestiva y de Obesidad, Hospital Zambrano-Hellion, Monterrey, Mexico.
¹³ Department of Surgery, Ascension St. Mary's Hospital, Central Michigan University, Saginaw, Michigan.
¹⁴ Department of Surgery, Prisma Health, University of South Carolina, Greenville, South Carolina.
¹⁵ Department of Surgery, Duke University, Durham, North Carolina.

PMID: 37080885
DOI: 10.1016/j.soard.2023.02.018

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.

Keywords: Abdominal pain; Antiemetics; Bariatric surgery; Diabetes; Epigastric pain; G-POEM; Gastric distension; Gastric dysmotility; Gastric emptying; Gastroparesis; Gastrostomy; Laparoscopy; Metoclopramide; Morbid obesity; Nausea; Obesity; PEG; POP; Pyloroplasty; Sleeve gastrectomy; Vomiting.

Published by Elsevier Inc.

Publication types

Systematic Review
Review

MeSH terms

Gastric Emptying
Gastroparesis* / diagnosis
Gastroparesis* / etiology
Gastroparesis* / surgery
Humans
Surgeons*