Management of adult patients with gastroparesis

PEJ: percutaneous endoscopic jejunostomy; PEG: percutaneous endoscopic gastrostomy.
* Domperidone is not commercially available in the United States. It may be obtained by investigational new drug application to the US Food and Drug Administration and is widely available in other countries. Refer to topic.
¶ Intravenous erythromycin lactobionate 3 mg/kg every eight hours is available for treatment of acute gastroparesis in hospitalized patients.
Δ The use of prochlorperazine with metoclopramide is expected to increase the risk of extrapyramidal symptoms; consider avoiding combined use.