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Acupuncture for symptomatic gastroparesis.

Kun Hyung Kim1, Myeong Soo Lee, Tae-Young Choi

  • 1Department of Korean Medicine, Pusan National University Hospital, Gudeok-Ro, Seo-Gu, Busan, Korea, South, 49241.

The Cochrane Database of Systematic Reviews
|December 19, 2018
PubMed
Summary

This systematic review found very low-certainty evidence for short-term benefits of acupuncture for gastroparesis symptom improvement. Caution is advised due to bias and incomplete data on harms and long-term outcomes.

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Area of Science:

  • Gastroenterology
  • Integrative Medicine
  • Evidence-Based Medicine

Background:

  • Gastroparesis significantly impacts quality of life due to delayed gastric emptying.
  • Current treatments for gastroparesis have limited evidence of efficacy.
  • Acupuncture's role in managing symptomatic gastroparesis requires clarification.

Purpose of the Study:

  • To systematically review the benefits and harms of acupuncture for gastroparesis symptom management.
  • To compare acupuncture against no treatment, sham acupuncture, conventional medicine, and other interventions.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) comparing acupuncture with various control groups.
  • Searched multiple databases without language restrictions.

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  • Included RCTs with outcomes measured at least four weeks post-baseline.

    • Main Results:

    • 32 studies with 2601 participants were included; most focused on diabetic gastroparesis.
    • Very low-certainty evidence suggests a potential short-term benefit of acupuncture compared to gastrokinetic medication.
    • Low-certainty evidence indicated no significant difference between acupuncture and sham acupuncture on symptom scores.
    • Reporting of adverse events was incomplete; minor events like bleeding and dizziness were noted.
    • High risk of bias was identified in most studies regarding blinding, allocation concealment, and selective reporting.

    Conclusions:

    • Very low-certainty evidence exists for short-term benefits of acupuncture in diabetic gastroparesis.
    • Publication bias and small study effects were noted, necessitating cautious interpretation of findings.
    • Data on long-term outcomes, quality of life, medication use, and safety remain insufficient.