Surgical approaches to treatment of gastroparesis: gastric electrical stimulation, pyloroplasty, total gastrectomy and enteral feeding tubes.

Abstract:

:Gastric electrical stimulation (GES) is neurostimulation; its mechanism of action is affecting central control of nausea and vomiting and enhancing vagal function. GES is a powerful antiemetic available for patients with refractory symptoms of nausea and vomiting from gastroparesis of idiopathic and diabetic causes. GES is not indicated as a way of reducing abdominal pain in gastroparetic patients. The need for introducing a jejunal feeding tube means intensive medical therapies are failing, and is an indication for the implantation of the GES system, which should always be accompanied by a pyloroplasty to guarantee accelerated gastric emptying.

authors

Sarosiek I,Davis B,Eichler E,McCallum RW

doi

10.1016/j.gtc.2014.11.012

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

151-67

issue

1

eissn

0889-8553

issn

1558-1942

pii

S0889-8553(14)00143-5

journal_volume

44

pub_type

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