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Management

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  • goals of treatment in gastroparesis are to reduce symptoms, to maintain a sufficient nutritional state and an optimal weight
  • with respect to people with diabetes
    • NICE suggest (1):
      • a clinician should consider the diagnosis of gastroparesis in an adult with erratic blood glucose control or unexplained gastric bloating or vomiting, taking into consideration possible alternative diagnoses
      • for adults with type 2 diabetes who have vomiting caused by gastroparesis, explain that:
        • there is no strong evidence that any available antiemetic therapy is effective
        • some people have had benefit with domperidone, erythromycin or metoclopramide
        • the strongest evidence for effectiveness is for domperidone, but prescribers must take into account its safety profile, in particular its cardiac risk and potential interactions with other medicines
      • to treat vomiting caused by gastroparesis in adults with type 2 diabetes:
        • consider alternating the use of erythromycin and metoclopramide
        • consider domperidone only in exceptional circumstances (if domperidone is the only effective treatment) and in accordance with MHRA guidance on domperidone
      • if gastroparesis is suspected, consider referral to specialist services if:
        • differential diagnosis is in doubt, or
        • persistent or severe vomiting occurs
  • diet and lifestyle (2,3)
    • dietary measures are important in the management of gastroparesis
      • little or no evidence is available that dietary measures work, as they have not been studied in a controlled manner
      • advice should be targeted at individual intolerances or difficulties with specific food products. Especially, fat-rich items and late evening meals should be avoided. Referral to a dietitian may prove helpful
        • carbonated liquids should be avoided to limit gastric distention. Patients are instructed to take fluids throughout the course of the meal and to sit or walk for 1-2 hours after meals.
        • dietary and lifestyle advice should at least include the following recommendations:
          • reduce the number of fatty food products,
          • eat smaller portions more frequently during the day,
          • remain in an upright position during and after the course of a meal,
          • limit the intake of insoluble fibres,
          • stop smoking, although it should be noted that smoking itself triggers the gastrocolonic reflex and accelerates intestinal transit,
          • screen for deficiencies, especially in patients with weight loss and malnutrition and use multivitamin and/or vitamin supplementation, when needed
            • in cases with severe weight loss or inadequate nutrient intake, enteral feeding through a nasoduodenal tube should be considered
  • prokinetics
    • no medicines are licensed as prokinetics in the UK (4)
      • first-line prokinetic medicines are metoclopramide and domperidone
        • metoclopramide is approved in the United States for diabetic gastroparesis
        • domperidone is approved in Canada for gastrointestinal motility disorders associated with gastritis and diabetic gastroparesis
      • erythromycin is a second-line option.
      • other options include prucalopride and cisapride (discontinued in the UK
    • metoclopramide and domperidone
      • metoclopramide, a dopamine D2 receptor antagonist
        • both antiemetic and prokinetic properties
          • antiemetic effect of metoclopramide is based on the blockade of dopamine D2 receptors in the area postrema, located outside the blood-brain barrier, and the vomiting centre
          • prokinetic effect of metoclopramide is based on the blockade of dopamine D2 receptors in the gastrointestinal tract. Dopamine is known to cause inhibition of motility throughout the gastrointestinal tract. It reduces gastric tone and intragastric pressure and decreases antroduodenal coordination through activation of dopamine D2 receptors
          • metoclopramide not only shows dopamine D2 receptor antagonist properties but also shows moderate 5-hydroxytryptamine-4 (5HT4) agonist and 5HT3 antagonist properties
          • the US Food and Drug Administration (FDA) advises an adult oral dose of 10mg metoclopramide up to 4 times a day for reduced gastric motility (4)
            • is given 15-30 minutes before meals and at bedtime
            • is usually given for 2-8 weeks depending on how well symptoms are being controlled
              • the maximum recommended duration of treatment is 12 weeks due to the risk of extrapyramidal side effects such as tremor, muscle spasms and involuntary facial movements
      • domperidone, structurally related to butyrophenones, is also a dopamine D2 receptor antagonist
        • has similar effects as metoclopramide; however, it does not cross the blood-brain barrier and thus has a slightly less antiemetic effect
        • Health Canada advises an oral dose of 10mg domperidone 3 times a day (4)
          • the dose should be taken 15-30 minutes before meals
          • MHRA restrict use to a maximum of 7 days' duration due to the risk of QT prolongation
      • both metoclopramide and domperidone may induce hyperprolactinaemia
  • erythromycin
    • a macrolide antibiotic that is also a motilin receptor agonist
      • intravenous form is the most potent stimulant of solid and liquid gastric emptying
      • motilin is a polypeptide hormone present in the distal stomach and duodenum that increases lower oesophagal sphincter pressure and is responsible for initiating the migrating motor complexes (MMC) in the antrum of the stomach
    • enhances gastric emptying, increases antral contractions and antroduodenal coordination but reduces fundic volume and compliance in health and disease
    • oral administration of erythromycin is the preferred route for chronic use in patients with gastroparesis
      • the liquid form of erythromycin may be of additional benefit in gastroparesis, as it does not need to be disintegrated in the stomach
      • the standard dose of oral erythromycin is 250 to 500mg 3 times a day taken before meals (4)
        • the maximum dose is 500mg 4 times a day taken before meals and at bedtime.
        • erythromycin can also be started at a lower dose of 50 to 100mg 4 times a day and titrated to effect
        • starting at a lower dose reduces the risk of tachyphylaxis, which is a sudden decrease in efficacy and loss of symptom control
    • unfortunately, long-term use is limited because of its antibacterial effect and bacterial resistance, and occurrence of desensitization to the therapeutic prokinetic effect
  • other specialist interventions include:
    • intrapyloric botulinum toxin injection, gastric pacing or more radical surgical interventions, such as partial or total gastrectomy.

References:

  1. NICE (June 2022). Type 2 diabetes in adults: management.
  2. Waseem S, Moshiree B, Draganov PV. Gastroparesis: current diagnostic challenges and management considerationsWorld J Gastroenterol. 2009 Jan 7;15(1):25-37.
  3. Haans JJ, Masclee AA.The diagnosis and management of gastroparesis. Aliment Pharmacol Ther. 2007 Dec;26 Suppl 2:37-46.
  4. NHS Specialist Pharmacy Service (May 2025). Choosing a prokinetic medicine for impaired gastrointestinal motility.

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