Mayo Clinic, Rochester, Minnesota, USA.
Massachusetts General Hospital, Boston, Massachusetts, USA.
Am J Gastroenterol. 2022 Aug 1;117(8):1197-1220. doi: 10.14309/ajg.0000000000001874. Epub 2022 Jun 3.
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.
胃轻瘫的特征是出现提示食物在胃中潴留的症状，同时存在胃排空延迟的客观证据，而无胃流出道机械性梗阻。这种情况在临床实践中越来越常见。本指南总结了成人胃轻瘫的危险因素、诊断和治疗（包括饮食、药物、器械和针对幽门的干预）的观点，代表了美国胃肠病学会的官方实践推荐。使用推荐评估、制定与评价分级（Grading of Recommendations, Assessment, Development, and Evaluation）过程评估了这些指南的科学证据。当证据不适合推荐评估、制定与评价分级时，我们使用专家共识来制定关键概念陈述。这些指南应被视为首选方法，但并非这些疾病的唯一处理方法。
