AGA Clinical Practice Update on Management of Medically Refractory Gastroparesis: Expert Review

Brian E Lacy; Jan Tack; C Prakash Gyawali

doi:10.1016/j.cgh.2021.10.038

AGA Clinical Practice Update on Management of Medically Refractory Gastroparesis: Expert Review

Clin Gastroenterol Hepatol. 2022 Mar;20(3):491-500. doi: 10.1016/j.cgh.2021.10.038. Epub 2021 Oct 29.

Authors

Brian E Lacy¹, Jan Tack², C Prakash Gyawali³

Affiliations

¹ Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida.
² Department of Gastroenterology, Catholic University of Leuven, Leuven, Belgium.
³ Division of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri. Electronic address: cprakash@dom.wustl.edu.

PMID: 34757197
DOI: 10.1016/j.cgh.2021.10.038

Abstract

Description: Delayed gastric emptying on objective testing defines gastroparesis, but symptoms overlap with functional dyspepsia and do not correlate well with gastric emptying delay. This review outlines a strategy for defining, diagnosing, and managing refractory gastroparesis.

Methods: The Best Practice Advice statements presented here were developed from review of existing literature combined with expert opinion to provide practical advice. Because this was not a systematic review, formal rating of the quality of evidence or strength of recommendations was not performed. BEST PRACTICE ADVICE.

Keywords: Abdominal Pain; Gastroparesis; Nausea and Vomiting.

Publication types

Practice Guideline
Review

MeSH terms

Dyspepsia* / etiology
Gastric Emptying
Gastroparesis* / diagnosis
Gastroparesis* / therapy
Humans