Nutritional management in functional dyspepsia and gastroparesis

Functional dyspepsia (FD) and gastroparesis (GP) are chronic upper gastrointestinal disorders in which symptoms are closely linked to food intake. However, dietary interventions remain insufficiently studied, and the clinical overlap between the two conditions poses challenges for study design and interpretation. This review summarizes current evidence on the impact of eating behaviors, specific diets and food items, and macronutrient composition on symptom generation in FD and GP, and considers how these findings may inform nutritional management strategies. While emerging data suggest potential dietary approaches, evidence-based recommendations remain limited. Well-designed randomized controlled trials with standardized diagnostic criteria, validated outcome measures, and integration of physiological biomarkers are urgently needed to establish effective, individualized dietary interventions for these disorders.

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Publication Details

Journal
Best Practice & Research Clinical Gastroenterology
Published
2025-12-01
DOI
https://doi.org/10.1016/j.bpg.2025.102079
Primary Topic
Gastrointestinal motility and disorders
Type
article
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article

Nutritional management in functional dyspepsia and gastroparesis

Joost P. Algera, Stine Störsrud, Hans Törnblom
Best Practice & Research Clinical Gastroenterology
Gastrointestinal motility and disorders
article

Nutritional management in functional dyspepsia and gastroparesis

Joost P. Algera, Stine Störsrud, Hans Törnblom
article en

Abstract

Functional dyspepsia (FD) and gastroparesis (GP) are chronic upper gastrointestinal disorders in which symptoms are closely linked to food intake. However, dietary interventions remain insufficiently studied, and the clinical overlap between the two conditions poses challenges for study design and interpretation. This review summarizes current evidence on the impact of eating behaviors, specific diets and food items, and macronutrient composition on symptom generation in FD and GP, and considers how these findings may inform nutritional management strategies. While emerging data suggest potential dietary approaches, evidence-based recommendations remain limited. Well-designed randomized controlled trials with standardized diagnostic criteria, validated outcome measures, and integration of physiological biomarkers are urgently needed to establish effective, individualized dietary interventions for these disorders.

Best Practice & Research Clinical GastroenterologyVol. 79
Sahlgrenska University Hospital (SE)
Openalex Percentile: Top 44%
Gastrointestinal motility and disorders
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