Please use this identifier to cite or link to this item: http://localhost:8080/xmlui/handle/123456789/5209
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dc.contributor.authorEseonu, Debra-
dc.contributor.authorSu, Tanya-
dc.contributor.authorLee, Keya-
dc.contributor.authorChumpitazi, P-
dc.contributor.authorJ Shulman, Robert-
dc.contributor.authorHernaez, Ruben-
dc.date.accessioned2023-08-02T02:11:38Z-
dc.date.available2023-08-02T02:11:38Z-
dc.date.issued2022-
dc.identifier.urihttp://localhost:8080/xmlui/handle/123456789/5209-
dc.description.abstractGastroparesis (Gp) is a delay in gastric emptying in the absence of a mechanical obstruction and has the capacity to cause symptoms that significantly impact a patient’s quality of life. Dietary interventions are the first-line treatment in Gp, but the efficacy of different diets is unclear. This systematic review seeks to determine the effectiveness of dietary interventions on clinical outcomes in Gp. A literature search of MEDLINE Ovid from 1 March 2008 to 1 October 2021 was conducted to identify randomized controlled trials, cohort studies, and cross-sectional studies that reported dietary interventions in Gp. From the initial search, 2789 studies resulted. These were assessed by 2 independent reviewers and selected based on the primary outcomes of interest: changes in symptom-specific patient-reported outcomes and changes in gastric emptying time. A third reviewer resolved any discrepancies. Six adult studies (185 subjects) met the inclusion criteria, whereas no pediatric study did. Five of the included studies were randomized controlled trials and one was an observational study. The systematic review suggested low-fat diets, small-particle diets, diets with isoflavones, and foods considered bland, starchy, sweet, and salty did not exacerbate Gp symptoms. Small-particle diets and diets with isoflavones were found to improve gastric emptying time in patients. Additionally, small-particle diets were shown to reduce anxiety in comparison to large-particle diets. Of the randomized controlled trials, 80% were low risk of bias and 20% were fair risk of bias. The observational study was considered fair quality. The data presented in this review suggest specific dietary interventions could potentially improve Gp symptoms and gastric emptying in adult patients, particularly low-fat and small-particle diets. For pediatric Gp, data are lacking. The limited data available highlights a critical gap in the literatureen_US
dc.language.isoenen_US
dc.publisherOxford University Press on behalf of the American Society for Nutrition 2022en_US
dc.subjectgastroparesis,en_US
dc.subjectdiet,en_US
dc.subjectgastric emptying,en_US
dc.subjectgastrointestinal symptoms,en_US
dc.subjectdiet modification,en_US
dc.subjectnutritionen_US
dc.titleDietary Interventions for Gastroparesis: A Systematic Reviewen_US
dc.typeArticleen_US
Appears in Collections:VOL 13 NO 5 2022

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