Treatment of Diabetic Gastroparesis by Complementary and Alternative Medicines

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, adherence to long-term treatment is difficult because of the side effects of drugs, and the effect is always unsatisfactory. [67]…”

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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“…Acupuncture has been used to manage a variety of gastrointestinal problems, including irritable gastroparesis, irritable bowel syndrome (IBS), acute pancreatitis, and more. Gastroparesis is characterized by delayed gastric emptying with associated upper abdominal symptoms and is often a complication of diabetes-induced hyperglycemia or surgery ( 56 ). A systematic review of acupuncture for the treatment of gastroparesis found preliminary qualitative evidence that acupuncture provided short-term improvement in symptoms of gastroparesis, regardless of etiology (i.e., diabetes, surgery) ( 57 ).…”

Section: Evidence Acquisitionmentioning

confidence: 99%

Efficacy of Acupuncture in the Treatment of Chronic Abdominal Pain

Berger¹,

Liu²,

Jin³

et al. 2021

Anesth Pain Med

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Context: Abdominal pain is a widespread complaint and is one of the common reasons leading patients to seek medical care, either in emergency situations or with their primary providers. While acute abdominal pain is a better defined, usually surgical condition, chronic abdominal pain requires longer, typically lifelong, therapy. Chronic abdominal pain may also present with acute flares and complications. Here we review seminal and novel evidence discussing the use of acupuncture in the treatment of abdominal pain, indications, and conditions that may benefit from this approach. Evidence Acquisition: Chronic abdominal pain is a common complaint causing significant morbidity and disability and has a hefty price tag attached. Recent studies show it may be prevalent in as much as 25% of the adult population. It is defined as three episodes of severe abdominal pain over the course of three months. Chronic abdominal pain could be the result of chronicity of acute pain or of chronic pain syndromes, most commonly IBD syndromes and IBS. While a plethora of treatments exists for both conditions, these treatments usually fall short of complete symptom control, and there is a need for complementary measures to curb disability and increase the quality of life in these patients. Acupuncture is a form of integrative medicine that has long been used in Chinese and traditional medicine, based on the rebalancing of the patient’s Qi, or Ying/Yang balance. It has been shown to be effective in treating several other conditions, and novel evidence may expand its use into other fields as well. Clinical trials studying acupuncture in chronic pain conditions have been promising, and recent evidence supports the use of abdominal pain in chronic abdominal pain conditions as well. Though not curative, acupuncture is a complementary approach that helps reduce symptoms and improved quality of life. Conclusions: Chronic abdominal pain is a widespread condition, mostly affected by the IBS and IBD spectrum. Etiologies are still being studied for these conditions, and while novel treatment approaches are absolute game changers for these patients, many continue to experience some level of symptoms and disability. Acupuncture may provide further alleviation of these symptoms in select patients, thus improving quality of life, reducing disability, and saving healthcare dollars. It is a largely safe and inexpensive method that may significantly contribute to the quality of life of selected patients.

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“…Попри активне впровадження методів рефлексотерапії для корекції М-ЕФ шлунку у хворих на ЦД 1-го типу застосування викликає багато дискусій у зв'язку з відсутністю достатньої доказової бази: результати восьми міжнародних багатоцентрових досліджень із загальною кількістю обстежених 585 хворих на ЦД доведено ефективність сеансів акупунктури при уповільненні моторики шлунку, так як сприяють збудженню блукаючого нерва і гальмуванню симпатичних нервових закінчень. У літературі з'являються все більше даних, які доводять необхідність ширшого впровадження у щоденну медичну практику нових лікувальних комплексів [6][7][8].…”

Section: обґрунтування дослідженняunclassified

“…Аналіз отриманих нами даних, свідчать, що сеанси акупунктури є швидкодіючими, ефективними і безпечними для пацієнтів хворих на ЦД 1-го типу та ознаками уповільнення М-ЕФ шлунку. Крім того, слід вказати на низку переваг даного лікувального комплексу, що дозволяє ефективно запобігти прогресування симптомів дизмоторики шлунку, економічно вигідніший від прийому великої кількості препаратів медикаментозної терапії, а також відсутній токсичний вплив хімічних середників [5,7].…”

Section: обговорення результатів дослідженняunclassified

Comparative efficiency of treatment methods of deceleration of the gastric motor-evacuation function in patients with diabetes mellitus type 1

Костіцька¹

2016

ScienceRise: Medical Science

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Дослідження виконано для визначення ефективності сеансів акупунктури у порівнянні із прокінетиком у 46 хворих на діабетичний гастропарез. Протягом трьох місяців основній групі (n=23) обстежених щомісячно проведено по 10 сеансів акупунктури, а групі порівняння (n=23) використано 150 мг/добу ітоприду.

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Treatment of Diabetic Gastroparesis by Complementary and Alternative Medicines

Cited by 7 publications

References 15 publications

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

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

Efficacy of Acupuncture in the Treatment of Chronic Abdominal Pain

Comparative efficiency of treatment methods of deceleration of the gastric motor-evacuation function in patients with diabetes mellitus type 1

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