Systemic sclerosis & Raynaud's

The role of prokinetics in managing gastrointestinal involvement in SSc: a systematic literature review

Rheumatology (Oxford)Published Systematic literature review

Authors' conclusion

Prokinetic drugs may improve GI motility and symptoms in patients with SSc.

Study context

Population
Patients with SSc and gastrointestinal involvement (GI) involvement (dysmotility)
Participants
21 studies
Comparison
Prokinetic agents for SSc-related GI dysmotility
  • Cisapriden = 5
  • Metoclopramiden = 7
  • Octreotiden = 4
  • Prucalopriden = 1
Outcome
Effects of prokinetic agents on GI function and/or GI symptoms
Methodological detailsqualitative data synthesis, PubMed and Embase
  • Qualitative data synthesis
  • PubMed and Embase

Main finding

As reported in the abstract

  • Metoclopramide consistently improved overall GI motility
  • Cisapride improved gastric emptying and colonic motility, but not oesophageal motility
  • Octreotide improved small bowel motility but delayed gastric emptying
  • Prucalopride, the only one evaluated with a validated patient questionnaire, improved both upper and lower GI symptoms
  • 13 studies on GI motility by objective tests, 8 on clinical responses, 6 both

Original publication

The role of prokinetics in managing gastrointestinal involvement in SSc: a systematic literature review. Rheumatology (Oxford). Published 5 February 2025. doi:10.1093/rheumatology/keaf064

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