Evidence mapPaperPMID 33939892Full record

ArticleUnited European gastroenterology journal2021

United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on gastroparesis.

Jolien Schol, Lucas Wauters, Ram Dickman, Vasile Drug, Agata Mulak, Jordi Serra, Paul Enck, Jan Tack, ESNM Gastroparesis Consensus Group

Erratum issuedOpen access · bronzeAbstract readConsensus Statement
In one paragraph

Article in United European gastroenterology journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 4 pooled it
15.0field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 4 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Progress in Gastroparesis Management: From Pharmacotherapy to Interventional Treatments.JGH open : an open access journal of gastroenterology and hepatology · 2026
    Review
  7. Article
  8. Review
  9. Clinical Relevance of Gastric Emptying Time in Functional Dyspepsia.Journal of neurogastroenterology and motility · 2025
    Article
  10. Gastric Myoelectrical Activity Patterns and Water-Load Satiety Test in Patients With Chronic Dyspeptic Symptoms.JGH open : an open access journal of gastroenterology and hepatology · 2025
    Article
  11. Article
  12. Assessment of residual gastric volume by ultrasound prior to upper endoscopy: a prospective cohort study.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2025
    Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  18. Article
  19. Ten controversies in gastroparesis and a look to the future.Neurogastroenterology and motility · 2023
    Review
  20. Gastroparesis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 5 countries.

Jolien ScholDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Lucas WautersDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.
Ram DickmanDivision of Gastroenterology, Rabin Medical Center, Beilinson Hospital, Petach Tikwa, Israel and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-6477-2849
Vasile DrugUniversity of Medicine and Pharmacy Gr T Popa Iasi and University Hospital St Spiridon, Iasi, Romania.
Agata MulakDepartment of Gastroenterology and Hepatology, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0003-4678-8393
Jordi SerraDigestive System Research Unit. University Hospital Vall d'Hebron. Centro de Investigación Biomédica en Red de enfermedades hepáticas y digestivas (CIBERehd), Barcelona, Spain.
Paul EnckDepartment of Internal Medicine VI: Psychosomatic Medicine and Psychotherapy, University Hospital Tübingen, Tübingen, Germany.
Jan TackDepartment of Gastroenterology and Hepatology, University Hospitals Leuven, Leuven, Belgium.ORCID 0000-0002-3206-6704
ESNM Gastroparesis Consensus Group
KU Leuven · BECentro de Investigación Biomédica en Red de Enfermedades Hepáticas y Digestivas · ESGrigore T. Popa University of Medicine and Pharmacy · ROTel Aviv University · ILWroclaw Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastroparesis is a condition characterized by epigastric symptoms and delayed gastric emptying (GE) rate in the absence of any mechanical obstruction. The condition is challenging in clinical practice by the lack of guidance concerning diagnosis and management of gastroparesis.

methodsA Delphi consensus was undertaken by 40 experts from 19 European countries who conducted a literature summary and voting process on 89 statements. Quality of evidence was evaluated using grading of recommendations assessment, development, and evaluation criteria. Consensus (defined as ≥80% agreement) was reached for 25 statements.

resultsThe European consensus defined gastroparesis as the presence of symptoms associated with delayed GE in the absence of mechanical obstruction. Nausea and vomiting were identified as cardinal symptoms, with often coexisting postprandial distress syndrome symptoms of dyspepsia. The true epidemiology of gastroparesis is not known in detail, but diabetes, gastric surgery, certain neurological and connective tissue diseases, and the use of certain drugs recognized as risk factors. While the panel agreed that severely impaired gastric motor function is present in these patients, there was no consensus on underlying pathophysiology. The panel agreed that an upper endoscopy and a GE test are required for diagnosis. Only dietary therapy, dopamine-2 antagonists and 5-HT CONCLUSIONS AND INFERENCES: A multinational group of European experts summarized the current state of consensus on definition, symptom characteristics, pathophysiology, diagnosis, and management of gastroparesis.

Indexed as

Delphi TechniqueSocieties, MedicalDiet TherapyDopamine D2 Receptor AntagonistsDyspepsiaEndoscopy, GastrointestinalEuropeGastric EmptyingGastroenterologyGastroparesisHumansNauseaNeurologyNutritional SupportPostprandial PeriodRisk FactorsDopamine D2 Receptor AntagonistsSerotonin Receptor Agonistsconsensusendoscopygastric emptyinggastroparesisguidelineprokinetic

Identifiers

PMID33939892
PMCPMC8259275
OpenAlexW3158749337

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.