Gastroenterological Society of Australia Position Statement on the Assessment and Management of Idiopathic Gastroparesis

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.