ACG Clinical Guideline: Gastroparesis

Gastroparesis is characterized by symptoms suggesting retention of food in the stomach with objective evidence of delayed gastric emptying in the absence of mechanical obstruction in the gastric outflow. This condition is increasingly encountered in clinical practice. These guidelines summarize pers...

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Bibliographic Details
Published in:The American journal of gastroenterology Vol. 117; no. 8; pp. 1197 - 1220
Main Authors: Camilleri, Michael, Kuo, Braden, Nguyen, Linda, Vaughn, Vida M., Petrey, Jessica, Greer, Katarina, Yadlapati, Rena, Abell, Thomas L.
Format: Journal Article
Language:English
Published: United States Wolters Kluwer 01.08.2022
Wolters Kluwer Health Medical Research, Lippincott Williams & Wilkins
Subjects:
Adult
Diabetes
Endoscopy
FDA approval
Gastric Emptying
Gastroenterology
Gastroparesis - diagnosis
Gastroparesis - etiology
Gastroparesis - therapy
Humans
Motility
Narcotics
Nutrition
Observational studies
Ostomy
Pain
Patients
Pediatrics
Pylorus
Risk Factors
United States > US
ISSN:0002-9270, 1572-0241, 1572-0241
Online Access:Get full text
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Summary:Gastroparesis is characterized by symptoms suggesting retention of food in the stomach with objective evidence of delayed gastric emptying in the absence of mechanical obstruction in the gastric outflow. This condition is increasingly encountered in clinical practice. These guidelines summarize perspectives on the risk factors, diagnosis, and management of gastroparesis in adults (including dietary, pharmacological, device, and interventions directed at the pylorus), and they represent the official practice recommendations of the American College of Gastroenterology. The scientific evidence for these guidelines was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation process. When the evidence was not appropriate for Grading of Recommendations, Assessment, Development, and Evaluation, we used expert consensus to develop key concept statements. These guidelines should be considered as preferred but are not the only approaches to these conditions.
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Authors’ contributions: All authors contributed to researching, writing, and editing this manuscript. Drs. Abell and Camilleri serve as senior authors of the manuscript.
ISSN:0002-9270
1572-0241
1572-0241
DOI:10.14309/ajg.0000000000001874