Surgical Approaches to Treatment of Gastroparesis: Gastric Electrical Stimulation, Pyloroplasty, Total Gastrectomy and Enteral Feeding Tubes

• Autores: Irene Sarosiek, Brian Davis, Evelin Eichler, Richard W. McCallum
• Localización: Gastroenterology clinics of North America, ISSN 0889-8553, Vol. 44, Nº. 1, 2015 (Ejemplar dedicado a: Gastroparesis), págs. 151-167
• Idioma: inglés
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• Resumen

  • 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.