Journal of gastroenterology and hepatology · 2026
Gastroenterological Society of Australia Position Statement on the Assessment and Management of Idiopathic Gastroparesis.
СтатьяConsensus StatementКлинические рекомендацииОбзорНазвание и аннотация: Перевод в очереди
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Kellar Trina, Basnayake Chamara, Biesiekierski Jessica, Burgell Rebecca, Fitzpatrick Jessica, Hebbard Geoffrey, Ho Vincent, Kim Hannah, Knowles Simon R, Rayner Christopher K, Wong May, Talley Nicholas J
Аннотация
BACKGROUND: Idiopathic gastroparesis (IGP) treatment guidelines have to date focused on delayed gastric emptying as the cause of the associated symptoms of postprandial nausea, vomiting, early satiety, fullness, and pain. However the diagnostic hallmark-delayed gastric emptying-correlates poorly with symptoms, and the efficacy of treatments targeting gastric emptying is low. Clinically, there is substantial overlap with functional gastroduodenal disorders and eating disorders. As a result, current international guidelines provide limited guidance with low consensus. Recent advances support reconceptualizing IGP as a sensorimotor disorder, on a spectrum with functional dyspepsia, arising within the biopsychosocial model of disease.
OBJECTIVE: To provide clear guidance to clinicians on the assessment and management of IGP, as a sensorimotor disorder, using a multidisciplinary framework.
METHODS: Following formal review of the literature, a national multidisciplinary working group devised 20 consensus statements with a grade of evidence and strength of recommendation using a modified Delphi approach, and a suggested treatment algorithm. External review was obtained via patient representation, expert review, and public comment.
CONCLUSION: A novel treatment algorithm and 20 consensus statements are provided to guide clinicians in the multidisciplinary assessment and management of IGP as a sensorimotor disorder, alongside its overlapping comorbidities. We call for review of the current definition of IGP and a shift in research efforts to identify novel therapeutic targets.
OBJECTIVE: To provide clear guidance to clinicians on the assessment and management of IGP, as a sensorimotor disorder, using a multidisciplinary framework.
METHODS: Following formal review of the literature, a national multidisciplinary working group devised 20 consensus statements with a grade of evidence and strength of recommendation using a modified Delphi approach, and a suggested treatment algorithm. External review was obtained via patient representation, expert review, and public comment.
CONCLUSION: A novel treatment algorithm and 20 consensus statements are provided to guide clinicians in the multidisciplinary assessment and management of IGP as a sensorimotor disorder, alongside its overlapping comorbidities. We call for review of the current definition of IGP and a shift in research efforts to identify novel therapeutic targets.