Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 23 May 2017

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Gastric electrical stimulation for gastroparesis

October's issue of Archives of Surgery finds that gastric electrical stimulation increased body mass index, improves symptoms and gastric emptying rates, and is an alternative to gastrectomy for end-stage gastric disease.

News image

fiogf49gjkf04

Dr Rodney Mason and colleagues considered gastric electrical stimulation as an alternative to gastrectomy in patients with refractory gastroparesis.

The team conducted retrospective case series with a median follow-up of 20 months.

The researchers undertook the research in a tertiary care university hospital and a university-affiliated community hospital.

The team included 29 patients, of which 22 were women with a median age of 39 years with debilitating gastroparesis.

The patients were referred for gastrectomy from 2001 through 2004.

Body mass index improved from 23 preoperatively to 25 postoperatively
Archives of Surgery

The researchers reported that 24 patients had type 1 diabetic gastroparesis and 5 patients had idiopathic gastroparesis.

A gastric stimulator device was placed laparoscopically in 24 patients and by laparotomy in 5 patients.

The main outcome measures included morbidity and mortality of the procedure, symptom control, and hospital readmissions.

Further outcomes measured by the team were need for supplemental nutritional support, body mass index, and gastric emptying.

Follow-up results were available in 27 patients, and the team noted that there was no 30-day mortality or morbidity in 4 patients.

The median hospital stay was 3 days, and all of the patients tolerated an oral diet at discharge.

The researchers found that symptom control was excellent to good in 19 patients.

Nutritional support was discontinued in the 19 patients who were dependent on supplemental feeding before the procedure.

The research team observed that median body mass index improved significantly from 23 preoperatively to 25 postoperatively.

The median gastric emptying rate measured in 15 of 27 patients postoperatively improved from 0.2 per minute preoperatively to 0.4% per minute postoperatively.

Additional procedures were required in 4 patients, owing to poor outcome in 3 patients.

Dr Mason's team concludes, “Gastric electrical stimulation ameliorated symptoms, returned patients to normal oral nutritional intake, increased body mass index, improved gastric emptying rates, and is an alternative to gastrectomy in patients with end-stage gastric disease.”

Arch Surg 2005: 140(9): 841-8
23 September 2005

Go to top of page Email this page Email this page to a colleague

 23 May 2017 
Genes and pancreatic cancer
 23 May 2017 
Mother-to-child transmission of hepatitis B virus
 23 May 2017 
Physician burnout and well-being
 22 May 2017 
Disease extension in ulcerative colitis
 22 May 2017 
Exercise in dieting obese older adults
 22 May 2017 
Fungal microbiota in IBD
 19 May 2017 
Clinical improvement in mild acute pancreatitis
 19 May 2017 
Repeat biopsy and celiac disease outcomes 
 19 May 2017 
Global prevalence of IBS in adults
 18 May 2017 
Genetics and the gut microbiota and metabolic syndrome
 18 May 2017 
Antireflux surgery in extraesophageal reflux
 18 May 2017 
Breath testing in gastrointestinal disorders
 17 May 2017 
ERCP-related radiation cataractogenesis
 17 May 2017 
Satisfactory completion rates in upper GI endoscopy
 17 May 2017 
Tools for assessing dysphagia in eosinophilic esophagitis
 16 May 2017 
Testosterone levels in pre-menopausal women in NAFLD 
 16 May 2017 
UK guideline on GI pediatric to adult transition
 16 May 2017 
Most appropriate delivery mode in women with IBD 
 15 May 2017 
Biopsy after diagnosis in celiac disease
 15 May 2017 
Age and NAFLD diagnosis
 15 May 2017 
GI symptoms in pediatric IBD
 12 May 2017 
Treatment of HCV in liver transplant
 12 May 2017 
Non-vitamin K antagonist oral anticoagulants and GI bleeds
 12 May 2017 
Outcomes after continent ileostomy in Crohn's
 11 May 2017 
Biochemical test for bile acid diarrhea
 11 May 2017 
Biopsy and celiac disease diagnosis
 11 May 2017 
Age and diagnosis of advanced NAFLD fibrosis
 10 May 2017 
Biomarkers for gastric cancer risk assessment
 10 May 2017 
Inflammatory response biomarkers in decompensated cirrhosis
 10 May 2017 
Therapy for NASH
 09 May 2017 
Predicting post-operative Crohn's recurrence
 09 May 2017 
Multidisciplinary approach to pancreas cancer
 09 May 2017 
Hepatic manifestations of IBD
 08 May 2017 
Risk factor for non-obese NAFLD
 08 May 2017 
Central neuromodulators for functional GI Disorders
 08 May 2017 
Chronic liver diseases in the USA
 05 May 2017 
H. pylori infection and preeclampsia
 05 May 2017 
Low-cost oral rotavirus vaccine
 05 May 2017 
 Clostridium difficile and colectomy risk in IBD
 04 May 2017 
Mushroom poisoning and hepatitis
 04 May 2017 
Lean and obese patients with NAFLD
 04 May 2017 
Weight and mortality
 03 May 2017 
Quality and quantity of life in end-stage liver disease
 03 May 2017 
Metabolomes in NASH
 03 May 2017 
Oral direct-acting antivirals for HCV
 02 May 2017 
Transition readiness scores in adolescents with IBD
 02 May 2017 
Hepatocellular carcinoma risk in different etiologies of cirrhosis
 02 May 2017 
IBD disability index
 01 May 2017 
Hepatocellular carcinoma after HCV eradication
 01 May 2017 
Pregnancy and anti-TNF agents in IBD
 01 May 2017 
Functional abdominal pain predicts in children
 28 April 2017 
Yoga for ulcerative colitis
 28 April 2017 
Risk of pain after liver transarterial chemoembolization
 28 April 2017 
Anastomotic leak in colorectal cancer
 27 April 2017 
Precision oncology in liver cancer
 27 April 2017 
Celiac disease in adolescents with susceptibility genotypes
 27 April 2017 
Esophageal endocscopic submucosal dissection
 26 April 2017 
Time to colonoscopy and colorectal cancer
 26 April 2017 
National gastric cancer screening program
 26 April 2017 
Iron formulations for anemia in IBD

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2017 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us