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Procedural factors influencing risk include procedure urgency (emergency versus elective), duration and complexity, requirement for general anaesthesia versus regional techniques, and institutional experience with alternative management strategies [50]

They are heavier and bulkier than passive options but provide the highest level of temperature control

No membership fees, insurance requirements, or prior authorization waiting periods applypatients pay a flat monthly rate regardless of dose level, with the clinical principle that dose may increase over time but monthly cost remains stable

Guidance from the American Gastroenterology Association published in 2024 148 advises that in patients without symptoms of gastroparesis, standard pre-procedural fasting is safe and appropriate

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