Delayed gastric emptying causing nausea, vomiting, fullness, and bloating.

Why Do I Need Treatment?

To prevent malnutrition, glycemic instability, and hospitalization for intractable symptoms.

Treatment

  • Diet: Low-fat, low-fiber, small frequent meals.
  • Medications: Prokinetics (metoclopramide, domperidone), antiemetics (ondansetron).
  • Endoscopic: Gastric peroral endoscopic pyloromyotomy (G-POEM) for refractory cases.

What Can I Expect Afterwards?

  • Symptom improvement over weeks with medical therapy.
  • G-POEM requires 1–2 day admission; liquid diet for 3 days.

Risks & Possible Complications

  • QT prolongation with metoclopramide
  • Pyloromyotomy complications: bleeding, perforation (<5%)

Follow-Up

  • Gastric-emptying studies every 6–12 months.
  • Glycemic monitoring and nutrition support.