Evidence map›Paper›PMID 42920007›Full record

SynthesisSurgical endoscopy2026

SAGES surgical management of gastroparesis: systematic review and expert consensus.

Elisa C Calabrese, Dena Shehata, Sunjay Kumar, Gad Marom, Christian Chan, Neha Chandrasekar, Carlos Galvani, Marina Kurian, Mason Vierra, Intekhab Akram and 21 more

Abstract readSystematic ReviewConsensus Statement
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

Elisa C CalabreseDepartment of Surgery, University of California, San Francisco-East Bay, 1411 E 31st St, Oakland, CA, 94602, USA. eclbrs@gmail.com.ORCID http://orcid.org/0009-0007-0217-7933
Dena ShehataDepartment of Surgery, Lahey Hospital and Medical Center, Burlington, MA, USA.
Sunjay KumarDepartment of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA, USA.
Gad MaromGeneral Surgery Department, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Christian ChanDepartment of Surgery, University of Nevada Las Vegas, Las Vegas, NV, USA.
Neha ChandrasekarSchool of Medicine, Western Sydney University, Sydney, Australia.
Carlos GalvaniDepartment of Surgery, Louisiana State University, New Orleans, LA, USA.
Marina KurianDepartment of Surgery, New York University Grossman School of Medicine, New York, NY, USA.
Mason VierraDepartment of Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Intekhab AkramDepartment of Emergency Medicine, Rajiv Gandhi Super Specialty Hospital, Dilshad Garden, New Delhi, India.
Dimitrios I AthanasiadisDepartment of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Varun BansalDepartment of Surgery, University of Colorado, Aurora, CO, USA.
Andrew M BrownDepartment of Surgery, St. Luke's University Health Network, Bethlehem, PA, USA.
Eleanor FungSchool of Medicine, University of New South Wales, Sydney, Australia.
Peter HallowellDepartment of Surgery, University of Virginia, Charlottesville, VA, USA.
Imran HassanDepartment of Surgery, University of Iowa, Iowa City, IA, USA.
Omer Ul HassanDepartment of Surgery, Memorial Healthcare System, Hollywood, FL, USA.
Vincent HoSchool of Medicine, Western Sydney University, Sydney, Australia.
Usha KrishnanDepartment of Pediatric Gastroenterology, Sydney Children's Hospital, Sydney, Australia.
Joshua LyonsDepartment of Surgery, Case Western Reserve University, Cleveland, OH, USA.
Guy MaddernDepartment of Surgery, The Queen Elizabeth Hospital, University of Adelaide, Adelaide, SA, Australia.
Alessandro MartininoDepartment of Surgery, Duke University, Durham, NC, USA.
Yagnik PandyaDepartment of Surgery, MetroWest Medical Center, Natick, MA, USA.
Ankit D PatelDepartment of General and Gastrointestinal Surgery, Emory University, Atlanta, GA, USA.
Ceciel RookerInternational Foundation for Gastrointestinal Disorders, Milwaukee, WI, USA.
Ramses SaavedraDepartment of Surgery, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Stefan ScholzDivision of Pediatric General and Thoracic Surgery, Department of Surgery, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, PA, USA.
Bethany J SlaterDepartment of Surgery, Mount Sinai Kravis Children's Hospital, New York, NY, USA.
Ivan D FlorezDepartment of Pediatrics, University of Antioquia, Medellin, Colombia.
Geoffrey P KohnDepartment of Surgery, Monash University, Melbourne, VIC, Australia.
William RichardsonDepartment of Surgery, Ochsner Clinic, New Orleans, LA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGastroparesis is a debilitating disease for which therapeutic strategies achieve variable success. This systematic review and consensus statements address the surgical management of medically refractory gastroparesis. METHODOLOGY: A systematic review was conducted, with a literature search through December 31, 2024, addressing the surgical treatment of gastroparesis, including gastric electrical stimulation (GES), gastric per-oral endoscopic myotomy (GPOEM), pyloroplasty and pyloromyotomy, and gastrectomy. Studies assessing symptom resolution and changes in gastric emptying were extracted. The findings were subsequently presented to a panel of surgeons and gastroenterologists, some of whom are members of the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES), with the patient partner perspective considered. Consensus statements were generated from the presented data and subsequent discussion for each of the four treatment options.

resultsAll consensus statements were based on expert opinion due to poor and heterogeneous datasets for each intervention. The panel judged GES, pyloroplasty, and pyloromyotomy, including gastric per-oral endoscopic myotomy, to be reasonable treatments for patients with medically refractory gastroparesis. The panel does not suggest surgical resection as a standard treatment option for medically refractory gastroparesis, but acknowledges that in specific patient cases, it may be reasonable.

conclusionsThe consensus views achieved provide guidance for surgical approaches to medically refractory gastroparesis. The panel also highlighted evidence gaps that warrant research to strengthen the evidence base for surgical treatment strategies for gastroparesis.

Indexed as

GastroparesisElectric Stimulation TherapyGastrectomyHumansPyloromyotomyPylorusForegut surgeryGastrectomyGastric electrical stimulationGastroparesisGPOEMPyloromyotomyPyloroplastySurgical management

Identifiers

PMID42920007

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.