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Saudi Gastroenterology Association

MOTION

Saudi National GI Motility Registry

Motility Outcomes & Techniques – Integrated Observational Network

A national, multicenter, prospective registry capturing every GI motility study in Saudi Arabia — HRM, pH-impedance, Bravo, EndoFLIP, gastric emptying, wireless motility capsule, antroduodenal manometry, anorectal manometry, balloon expulsion, defecography, colonic transit, colonic manometry, and biofeedback sessions — benchmarked against Chicago Classification v4.0, the London Classification, and Lyon Consensus 2.0, governed by the SGA.

0
Founding Sites
17
Data Forms
420+
Variables
2026
Year Launched

Registry Objectives

  • Establish a continuous national registry of GI motility studies — HRM, pH-impedance, Bravo, EndoFLIP, gastric emptying, wireless capsule, antroduodenal manometry, ARM, balloon expulsion, defecography, colonic transit, colonic manometry, and biofeedback — across all Saudi tertiary and regional motility labs
  • Compute standardised motility quality metrics — Chicago v4.0 diagnosis distribution, pH-impedance acid-exposure-time concordance, HRM complete-protocol rate, ARM London classification distribution, balloon-expulsion ≤60 s rate, defecography structured-report completeness, WMC diagnostic-yield rate — per operator, site, and region
  • Enable confidential operator-level peer benchmarking with funnel plots and SPC limits — following the ANMS and European MDT-Motility models
  • Supply an objective data stream enabling SGA to operate a national Motility Laboratory Accreditation program aligned with ANMS / ESNM standards
  • Support neurogastroenterology fellow logbooks, DOPS-equivalent competency assessment, and SCFHS CME reporting from registry-captured study volume
  • Enable epidemiologic and outcomes research on motility disorders in KSA — refractory GERD, achalasia subtypes, diabetic gastroparesis prevalence, chronic constipation phenotypes, post-surgical dysmotility — under Vision 2030

About MOTION

MOTION is the motility analog to the SCOPE endoscopy registry — a national, auto-ingesting, accreditation-linked registry that classifies every study against Chicago Classification v4.0 (HRM), the London Classification (ARM), and Lyon Consensus 2.0 (pH-impedance). It targets the estimated 12,000–18,000 motility studies performed annually in KSA, starting with 10 founding sites in 2027.

MOTION accepts data via two channels at every site: manual entry through a bilingual REDCap-style CRF wizard, and automated ingest from motility acquisition software — initial targets Medtronic ManoScan/Digitrapper, Laborie MMS Solar GI, Diversatek ZVU/InSIGHT, and Alacer SmartPill.

Regulatory Compliance

MOTION complies with Saudi PDPL and is HIPAA- and ICH-GCP-aligned. AES-256 encryption of PII, full ALCOA+ audit logging of every change, a Data Access Committee (DAC) for research requests, and encrypted backups.

Auto-Computed Quality Metrics

MOTION dashboards compute the following quality metrics nightly, benchmarked against ANMS / ESNM / Lyon 2.0:

HRM Chicago v4.0 Complete-Protocol Rate
Benchmark: ≥ 90%
HRM Conclusive Diagnosis Rate
Benchmark: ≥ 85%
pH-Impedance Off-PPI Compliance
Benchmark: ≥ 95%
pH-Impedance Symptom Index Captured
Benchmark: ≥ 95%
Gastric Emptying 4-Hour Protocol Compliance
Benchmark: ≥ 95%
ARM London-Protocol Compliance
Benchmark: ≥ 90%
Balloon-Expulsion Abnormal-Referral Yield
Benchmark: tracked
Adverse Event Rate (any severity)
Benchmark: < 2%
Sedation-Related AE Rate
Benchmark: < 0.5%
Nondiagnostic Study Rate
Benchmark: < 5%
Patient-Reported Tolerability ≥ 7/10
Benchmark: ≥ 85%
30-Day Follow-up Completion
Benchmark: ≥ 80%

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The Saudi national GI motility registry

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