Expert consensus document: Advances in the diagnosis and classification of gastric and intestinal motility disorders

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Synopsis

Disturbances of gastric, intestinal and colonic motor and sensory functions affect a large proportion of the population worldwide, impair quality of life and cause considerable health-care costs. Assessment of gastrointestinal motility in these patients can serve to establish diagnosis and to guide therapy. Major advances in diagnostic techniques during the past 5–10 years have led to this update about indications for and selection and performance of currently available tests. As symptoms have poor concordance with gastrointestinal motor dysfunction, clinical motility testing is indicated in patients in whom there is no evidence of causative mucosal or structural diseases such as inflammatory or malignant disease. Transit tests using radiopaque markers, scintigraphy, breath tests and wireless motility capsules are noninvasive. Other tests of gastrointestinal contractility or sensation usually require intubation, typically represent second-line investigations limited to patients with severe symptoms and are performed at only specialized centres. This Consensus Statement details recommended tests as well as useful clinical alternatives for investigation of gastric, small bowel and colonic motility. The article provides recommendations on how to classify gastrointestinal motor disorders on the basis of test results and describes how test results guide treatment decisions.

Keywords: gastric and intestinal motility; manometry; imaging; motility disorders; stomach; small bowel function; gastric emptying; gastroparesis; small bowel transit; colonic transit

Available Languages

English

Source File

Publishing organization(s):

ESNM European Society of Neurogastroenterology and Motility, International Working Group for Disorders of Gastrointestinal Motility and Function

Scientific area:

Neurogastroenterology & Motility, Radiology & Imaging


This item can be cited as: Nat Rev Gastroenterol Hepatol. 2018 Apr 6.; PMID 29622808

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Categorisation:

  • Format
    • Standards and Guidelines
  • Language
    • English
  • UEG Member Society
    • European Society of Neurogastroenterology and Motility (ESNM)
  • UEG Week Pathway
    • Neurogastroenterology & Motility
    • Radiology & Imaging
  • Year
    • 2018