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학습 자료 둘러보기 →The cornerstone of management is small, frequent meals (e.g., 6 small meals daily) to reduce the volume of chyme entering the jejunum at one time.
Instruct the patient to limit fluid intake to 30 minutes before or after meals, not during. This decreases the overall volume and osmolality of gastric contents, slowing transit time.
Dietary composition should focus on high protein, moderate fat, and low carbohydrate content to avoid hyperosmolar loads that trigger fluid shifts and reactive hypoglycemia.
Lying down supine for 15-30 minutes after meals can help delay gastric emptying and manage vasomotor symptoms. Monitor for signs of reactive hypoglycemia (tachycardia, diaphoresis, confusion) 1-3 hours postprandially.
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