Gastric emptying disturbances are probably the first step leading to metabolic disease.

It explains dysbioses with small chains fatty acids production leading to liver steatosis and liver inflammation. Chronic inflammation is rapidly associated with immunosuppression which favors cancer occurrence.

This cascade of complications can be prevented with appropriate dietary intake, physical exercises and abdominal osteopathy.

After a brief description of the main types of dysbioses (bacterial overgrowth), of the main causes of gastric emptying disturbances and their consequences, osteopathic manoeuvers for gastric emptying will be described.

Gastroduodenal anatomy, visualized by echography, will help to practice. Echography confirms the diagnosis, the impact of osteopathic maneuvers and the amplitude of gastro-duodenal emptying.