Overview
The Gastroparesis Center provides evidence-based evaluation and management for patients with gastroparesis. The program emphasizes a coordinated, research-informed approach to care, incorporating medical, nutritional, endoscopic, and procedural therapies as appropriate.
Management plans are individualized based on symptom pattern, diagnostic findings, and response to prior treatment. The Center’s structure supports integrated assessment and access to advanced therapeutic options when indicated, with a focus on improving function and quality of life.
More about our Gastroparesis Center:
- National leader in endoscopic therapy for gastroparesis.
- Access to surgeons that specialize in Gastroparesis related surgeries including the per oral endoscopic pyloromyotomy (POP), an endoscopic procedure where a surgeon cuts the pylorus, a muscular valve that empties the stomach, without the need of an invasive surgical approach. The procedure is performed through the mouth using an endoscopic technique and results in improved emptying capability of the stomach.
- Ability to coordinate surgical and gastroenterology appointment on same day, and in the same location, which allows the surgeons and GI physician the opportunity to discuss and collaborate on the patient’s case.
- Access to our registered dietitians and nutrition team.
What We Treat
- Gastroparesis.
- Involved in treatment of global intestinal dysmotility.
Treatment
The initial evaluation is typically performed by the gastroenterologist and includes a large battery of blood tests to look for etiologies of gastroparesis. Based on the patient’s prior evaluation and treatment the patient is frequently also seen by surgery.
Certain medications may be prescribed to help manage gastroparesis, or decrease symptoms. After all test results are available a plan of care will be established based on the results. The patient will be instructed on diet, medications and further care by the nurse coordinator.
Appointments & Locations
Patients with confirmed gastroparesis are welcome to be referred to the Gastroparesis Center for consultation. All new patients must have documentation of an abnormal 4-hour gastric emptying study performed within the past three years. A referral from a primary or managing gastroenterologist is required.
Referrals may be faxed to 216.636.5892. Once received, referrals and supporting records will be reviewed, and patients will be triaged to the appropriate treatment team based on clinical information and care needs.
Patients are seen for consultation and will continue to follow with their referring physician, typically alternating follow-up visits as appropriate. Ongoing coordination with the referring provider is encouraged to ensure continuity of care and facilitate timely communication regarding treatment plans.
The Gastroparesis Center does not provide management for total parenteral nutrition (TPN) or enteral nutrition. These aspects of care should remain under the supervision of a local provider or patients can be referred to Cleveland Clinic's Center for Human Nutrition.
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FAQ
What can I eat?
The purpose of the gastroparesis diet is to reduce symptoms and maintain nutrition, by limiting high fiber and fat foods. High fats can slow the stomach and should be avoided. Try to consume low fat, non fat and fat free options. Fiber also slows stomach emptying. A four-stage diet will be introduced to the patient and reviewed during initial visit in the Gastroparesis Clinic.
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