A North American perspective on the ESNM consensus statement on gastroparesis

We congratulate the members of the European Society of Neurogastroenterology and Motility (ESNM) with expertise in gastroparesis and the United European Gastroenterology (UEG) Federation Sister Societies for developing comprehensive recommendations on gastroparesis. We noted their due diligence, conduct of a Delphi consensus processes, systematic literature reviews, and grading of the strength using accepted criteria. The objective of our commentary is to identify and comment only on topics where additional insight or more recent literature (not only from North America) is available to continue to enhance the recommendations. To achieve this objective, we have reviewed the salient ESNM statements, and whether they were endorsed or rejected by the ESNM working group, and we have provided a commentary on each based on the published evidence base.