Prognosis

Gastroparesis has been associated with a significant decrease in quality of life and psychosocial comorbidities such as anxiety and depression.[68]​ The overall survival of patients with gastroparesis appears to be lower compared to their age and sex-expected survival.[8]

The outlook depends on the aetiology. Diabetic and post-surgical gastroparesis are chronic conditions. Symptoms can be well controlled in most patients with a judicious combination of prokinetics, anti-emetics, nutritional support, and strict glycaemic control in patients with diabetes. Some patients do not respond to this treatment approach and continue to have repeated admissions to hospital for refractory nausea and vomiting, dehydration, and malnutrition. Patients with idiopathic or post-viral gastroparesis can follow a similar clinical course; however, there is a potential for recovery and normalisation of gastric function over a period of many months or years.[122][123][124]

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