ayed gastric emptying or wireless motility capsule)
orithm for Gastroparesis paresis
Nutrition
• Obtain weight and height to calculate body mass index (BMI)
• Inquire about past weights 6 months and 1 year prior
small, low fat, low fiber meals emphasizing liquids over solids
Gastroparesis Diet
• Liquid caloric supplements • Appetite stimulants: megestrol acetate/ cannabinoids/mirtazapine
No response
Feeding jejunostomy for nutrition and medications
Insufficient response
Total parenteral nutrition
management specialist
No response Refer to pain
Tramadol po No response
• Tricyclic antidepressants
• SSRI/SNRI
(if necessary) Analgesics
• APAP po • NSAIDs po
No response