European Guideline on Chronic Nausea and Vomiting-A UEG and ESNM Consensus for Clinical Management
Malagelada Prats, Carolina (Hospital Universitari Vall d'Hebron)
Keller, Jutta (Academic Hospital University of Hamburg)
Sifrim, Daniel (Queen Mary University of London)
Serra Pueyo, Jordi (Hospital Universitari Vall d'Hebron)
Tack, Jan (UZ Leuven)
Mulak, Agata (Wroclaw Medical University (Polònia))
Stengel, Andreas (University Hospital Tübingen (Alemanya))
Aguilar, Ariadna (Hospital Universitari Vall d'Hebron)
Asbjorn, Drewes (Aalborg University Hospital (Dinamarca))
Josefsson, Axel (University of Gothenburg (Suècia))
Bonaz, Bruno (Grenoble Institut des Neurosciences (França))
Dumitrascu, Dan (Iuliu Hatieganu University of Medicine and Pharmacy (Romania))
Keszthelyi, Daniel (Maastricht University Medical Center (Païssos Baixos))
Barba Orozco, Elizabeth (Hospital Clínic i Provincial de Barcelona)
Carbone, Florencia (University Hospitals Leuven (Bèlgica))
Zerbib, Frank (Université de Bordeaux)
Marchegiani, Giovanni (University of Padua)
Hauser, Goran (Clinical Hospital Centre of Rijeka (Croàcia))
Gourcerol, Guillaume (Université de Rouen Normandie (França))
Tornblom, Hans (University of Gothenburg (Suècia))
Hammer, Heinz (Medical University of Graz (Àustria))
Aziz, Imran (University of Sheffield (Anglaterra, Regne Unit))
Matic, Jelena Rakic (Health Center Zagreb-West (Croàcia))
Mendive Arbeloa, Juan Manuel (Institut Català de la Salut)
Nikaki, Kornilia (Great Ormond Street Hospital (Londres, Regne Unit))
Wauters, Lucas (University Hospitals Leuven (Bèlgica))
Alcalá-González, Luis Gerardo (Hospital Universitari Vall d'Hebron)
Waluga, Marek (Medical University of Silesia (Polònia))
Jinga, Mariana (Carol Davila University of Medicine and Pharmacy (Romania))
Corsetti, Maura (Nottingham University Hospitals NHS Trust and the University of Nottingham (Regne Unit))
Rommel, Nathalie (University Hospitals Leuven (Bèlgica))
Shidrawi, Ray (The Wellington Hospital (Londres, Regne Unit))
De Giorgio, Roberto (University of Ferrara (Itàlia))
Kadirkamanathan, Sritharan (Queen Mary University of London (Regne Unit))
Surdea-Blaga, Teodora (Iuliu Hatieganu University of Medicine and Pharmacy (Romania))
Universitat Autònoma de Barcelona

Data:	2025
Resum:	Introduction: Chronic nausea and vomiting are symptoms of a wide range of gastrointestinal and non-gastrointestinal conditions. Diagnosis can be challenging and requires a systematic and well-structured approach. If the initial investigation for structural, toxic and metabolic disorders is negative, digestive motility and gut-brain interaction disorders should be assessed. United European Gastroenterology (UEG) and the European Society for Neurogastroenterology and Motility (ESNM) identified the need for an updated, evidence-based clinical guideline for the management of chronic nausea and vomiting. Methods: A multidisciplinary team of experts in the field, including European specialists and national societies, participated in the development of the guideline. Relevant questions were addressed through a literature review and statements were developed and voted on according to a Delphi process. Results: Ninety-eight statements were identified and voted following the Delphi process. Overall agreement was high, although the grade of scientific evidence was low in many areas. Disagreement was more evident for some pharmacological treatment options. A diagnostic algorithm was developed, focussing on the differentiating features between gastrointestinal motility and gut-brain interaction disorders with predominant nausea and vomiting. Conclusion: These guidelines provide an evidence-based framework for the evaluation and treatment of patients with chronic nausea and vomiting.
Nota:	Altres ajuts: acords transformatius de la UAB
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Delphi ; Guidelines ; Nausea ; Vomiting
Publicat a:	United European Gastroenterology journal, 2025 , ISSN 2050-6414

DOI: 10.1002/ueg2.12711
PMID: 39754724

45 p, 827.6 KB

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