Acupuncture for symptomatic gastroparesis

Kim, Kun Hyung; Lee, Myeong Soo; Choi, Tae‐Young; Ernst, Edzard

doi:10.1002/14651858.cd009676

Cited by 9 publications

(7 citation statements)

References 43 publications

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“…Table 8 summarizes information on effects of electroacupuncture, acupuncture, and herbal medicines in GP (142)(143)(144)(145)(146)(147)(148)(149)(150)(151)(152)(153). The evidence available does not support their use in clinical practice.…”

Section: Recommendationsmentioning

confidence: 99%

ACG Clinical Guideline: Gastroparesis

et al. 2022

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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.

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Section: Recommendationsmentioning

confidence: 99%

ACG Clinical Guideline: Gastroparesis

et al. 2022

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“…All acupoints are commonly used to gastrointestinal dysfunction. In 2018, Kim et al [69] found that acupuncture can significantly improve the symptoms of diabetic gastroparesis patients through systematic review. But in TCM, acupuncture is a small part of acupoint therapy.…”

Section: Discussionmentioning

confidence: 99%

Traditional Chinese acupoint massage, acupuncture, and moxibustion for people with diabetic gastroparesis: A systematic review and meta-analysis

Yan

Jin

et al. 2022

Medicine

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Background: Traditional Chinese acupoint therapy has been used for thousands of years on gastrointestinal diseases. In this work, we evaluated the efficiency and safety of traditional Chinese acupoint therapies versus standard therapies, nursing or recovery treatments in the treatment of diabetic gastroparesis.e expect that traditional Chinese medicine acupoint therapy can be noticed by more people, so as to provide more high-quality clinical evidence.Methods: Randomized controlled trials were included in this meta-analysis. The treatment groups received traditional Chinese acupoint therapy, while the control groups received standard therapies, nursing, or recovery treatments. The relative risk and weighted mean difference with 95% confidence interval for the total effective rate, gastrin level, gastric-emptying time, fasting blood glucose level, 2-hour blood glucose level, and glycosylated hemoglobin level were evaluated using RevMan 5.3 software. Bias assessment was performed using the Cochrane risk-of-bias tool.Results: A total of 59 articles were included in the analysis. In comparison with the control groups, the acupoint therapy groups showed higher total effective rates (P < .00001), enhanced gastric-emptying rates (P < .00001), and reduced glycosylated hemoglobin levels. Conclusion:In comparison with Western medicine or conventional care, traditional Chinese acupoint therapies showed a significant advantage in the treatment of diabetic gastroparesis. However, considering the low quality and high risk of the included studies, more high-quality randomized controlled trials are needed to confirm the results.

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“…However, a recent Cochrane meta-analysis of acupuncture for symptomatic gastroparesis concluded no effect of acupuncture on gastroparesis was found and the safety data were lacking. [ 13 ] These conflicting results make the clinical efficacy of complementary and alternative medicine in the treatment of gastroparesis very uncertain, so it is important to reintegrate the evidence for a systematic review.…”

Section: Discussionmentioning

confidence: 99%

Efficacy and safety of complementary and alternative medicine therapy for gastroparesis

Sun

Chen

et al. 2020

Medicine

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Background: Gastroparesis affects the quality of life of many patients, but there is no effective treatment. Now, complementary and alternative medicine originated from China is gradually accepted by the world because of its unique treatment principles and relatively safe treatment methods. However, at present, there is still a lack of more definitive clinical application evidence for the treatment of gastroparesis with complementary and alternative medicine to confirm the safety and efficacy of complementary and alternative medicine in the treatment of gastroparesis caused by various causes. More comprehensive and stronger evidence-based medicine evidence is needed. Methods: We will retrieve literatures using Medline, Embase, the Cochrane Library database, Web of science, CNKI, VIP, CBM, and WanFang. We will look for RCTs or CCTs on the use of complementary and alternative medicine in the treatment of gastroparesis, and extract relevant data into the excel sheet. The whole retrieval and data extraction process were carried out by 2 researchers independently. Then we will use meta-analysis to make statistical analysis of all the results and make a systematic review of all the included literatures. Results: All results and safety data were analyzed for a comprehensive evaluation and/or descriptive analysis of the efficacy and safety of complementary and alternative therapies for gastroparesis. Conclusion: This study will provide more comprehensive clinical evidence for the treatment of gastroparesis with complementary and alternative therapies. Registration: The research has been registered and approved on the INPLASY.COM website. The registration number is INPLASY2020100033.

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Acupuncture for symptomatic gastroparesis

Cited by 9 publications

References 43 publications

ACG Clinical Guideline: Gastroparesis

ACG Clinical Guideline: Gastroparesis

Traditional Chinese acupoint massage, acupuncture, and moxibustion for people with diabetic gastroparesis: A systematic review and meta-analysis

Efficacy and safety of complementary and alternative medicine therapy for gastroparesis

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