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Furthermore, GP is associated with poor quality of life, increased emergency room visits, hospitalizations and subsequent increased healthcare costs. Currently, the managements of GP consist of glycemic control, antiemetics, prokinetics and the use of gastric electrical stimulation. However, most GP patients are at risk for significant nutritional abnormalities. As such, it is essential to screen and diagnose malnutrition in these patients. Poor oral intake in such patients could be supplemented by enteral tube feeding. Parenteral nutrition, although a last resort, is associated with a number of complications and should be used only for the short term. In summary, a systematic approach including initial nutritional screening, diet recommendations, medical therapy, nutritional re\u2010evaluation and enteral and parental nutrition should be considered in complex GP patients.<\/jats:p>","DOI":"10.1111\/1751-2980.12344","type":"journal-article","created":{"date-parts":[[2016,4,25]],"date-time":"2016-04-25T19:18:11Z","timestamp":1461611891000},"page":"285-294","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Management of gastroparesis\u2010associated malnutrition"],"prefix":"10.1111","volume":"17","author":[{"given":"Shishira","family":"Bharadwaj","sequence":"first","affiliation":[{"name":"Department of Gastroenterology\/Hepatology, Center for Human Nutrition, Cleveland Clinic Foundation College of Osteopathic Medicine Cleveland  Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna","family":"Meka","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology Michigan State University  East Lansing MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parul","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology Michigan State University  East Lansing MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Rathur","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology Michigan State University  East Lansing MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Rivas","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology Cleveland Clinic, West Palm Beach  Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiren","family":"Vallabh","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology, Center for Human Nutrition, Cleveland Clinic Foundation College of Osteopathic Medicine Cleveland  Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Jevenn","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology, Center for Human Nutrition, Cleveland Clinic Foundation College of Osteopathic Medicine Cleveland  Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Guirguis","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology, Center for Human Nutrition, Cleveland Clinic Foundation College of Osteopathic Medicine Cleveland  Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Imran","family":"Sunesara","sequence":"additional","affiliation":[{"name":"University of Mississippi Medical Center  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Nischnick","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology, Center for Human Nutrition, Cleveland Clinic Foundation College of Osteopathic Medicine Cleveland  Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Ukleja","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology\/Hepatology Cleveland Clinic, West Palm Beach  Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,7,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2010.09.022"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1026665728213"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/ajg.2011.310"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2008.12.047"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8278(94)80230-0"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.034"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0115426504019002145"},{"key":"e_1_2_6_9_1","first-page":"691","volume-title":"Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology\/Diagnosis\/Management. 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