AGA has established 12 new recommendations for diagnosing and managing gastroparesis to meet unmet needs in treatment. The guidelines recommend a four-hour gastric emptying test over the two-hour variant, highlighting its higher sensitivity. Metoclopramide and erythromycin are endorsed as primary pharmacological treatments, while several others are advised against due to lack of efficacy or safety concerns. Procedural interventions like G-POEM are suggested for refractory cases, and the document emphasizes a multidisciplinary approach for comprehensive care, addressing health equity.
Source: Gastroenterology