Going to be having a total hysteterectomy and have gastroparesis. are there any additional risks for undergoing general anethesia with gastroparesis?

Yes: Reflux leading to an aspiration pneumonia is possible during induction of anesthesia. Just let the anesthesiologist know and the could do a rapid sequence induction, a maneuver which decreases this risk.

Yes: You can still have a full stomach even though you may not have eaten since the day before or midnight of day of surgery. This increases the risk of aspiration during anesthesia induction (as the drugs are injected to get you to sleep). Be sure to tell the anesthesia team about your gastroparesis so they are prepared.

Gastroparesis: The primary risk of gastroparesis is apiration during induction or emergence from anesthesia if stomach contents were to reflux into the esophagus. Standard of care would be to perform a rapid sequence induction of general anesthesia and do an endotracheal intubation. Properly performed your risk should be minimal assuming you do not have additional comorbidities.

Yes: Gastroparesis means that your stomach emptying time is prolonged. Do you also have diabetes? It will be imperative for you to strictly follow the nothing by mouth guidelines for 8 hours for solid foods and liquids. In fact i would recommend a full liquid diet for the day before surgery. Be sure you let your anesthesiologist know of this condition at your pre-operative visit.

Aspiration: People with gastroparesis have delayed gastric emptying. This means that there is a slightly increased chance of aspiration during the induction of anesthesia. This can be easily treated or managed with medications. Discuss this with your anesthesiologist before your surgeon.