United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on functional dyspepsia

Abstract

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Age Cutoff and Yield of Prompt Esophagogastroduodenoscopy to Detect Malignancy in Vietnamese with Upper Gastrointestinal Symptoms: An Endoscopic Database Review of 472,744 Patients from 2014 to 2019

“…Consequently, prompt endoscopy conferred only a small benefit in terms of curing dyspepsia and was not a cost-effective strategy [ 20 ]. Current guidelines in Western countries recommend that the age cutoff for EGD in dyspepsia be 60 years [ 4 , 5 ]. By contrast, patients with UGIM are much younger in Asia.…”

“…Although there are specific guidelines for dyspepsia and gastroesophageal reflux disease, the overlap of symptoms is very common in real-world practice [ 1 ]. All of these guidelines recommend using alarm features to identify patients who have priority for prompt performance of EGD [ 2 – 5 ]. However, studies from both Eastern and Western countries showed that the alarm features had very low sensitivity for UGIM [ 6 , 7 ].…”

Guidelines, top‐notch science & social media—Jump on the bandwagon

“…In 2021, the UEG and European Society for Neurogastroenterology and Motility (ESNM) consensus on functional dyspepsia (FD) and gastroparesis were published as attempts to address the lack of guidance in recognizing, diagnosing and treating these GI conditions. 1,2 Following a Delphi consensus with 41 experts from 22 European countries, a total of 87 (FD) and 89 (gastroparesis) statements were voted for agreement with evaluation of the quality of evidence. 1,2 The importance of the 36 (FD) and 25 (gastroparesis) statements reaching consensus (>80% agreement) is illustrated here for the definition, diagnosis and management of these conditions and in relation to other important publications of the past year.…”

How to get new guidelines in United European Gastroenterology: Follow the gold!

“…3 Functional dyspepsia is a frequent disorder in GI practice with important impact on patients' quality of life, diagnosis and management lacked standardization and the guideline aimed to better define diagnosis criteria and medical therapy algorithms to improve clinical outcomes and reduce the burden of that disease. 4 Gastroparesis is a complex disorder, causing a deep alteration of digestive processes and major chronic symptoms. It's an area of GI diseases where RCTs are lacking which makes experts consensus and opinions more valuable.…”