title: Novel application of GI electrical stimulation in Roux stasis syndrome (with video).
abstract: BACKGROUND
  About one-third of patients undergoing a Roux-en-Y anastomosis develop Roux stasis syndrome, likely because of disordered electrical conduction. GI electrical stimulation has been previously used successfully in the management of postsurgical gastroparesis.
  
  
  OBJECTIVE
  Endoscopic placement of temporary electrodes and GI electrical stimulation in the management of severe Roux stasis syndrome in a patient with esophagojejunostomy and to determine whether the patient would be a candidate for surgical permanent electrode placement.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Academic medical center.
  
  
  METHODS
  This study involved a patient with Roux stasis syndrome.
  
  
  METHODS
  Upper endoscopy was performed, followed by endoscopic placement of two temporary electrodes, one each in the two jejunal limbs. Electrical stimulation was provided by an external stimulation device. The patient was re-evaluated 5 days later.
  
  
  METHODS
  Electrogastrogram (EGG) parameters including frequency, amplitude, and frequency-amplitude ratio and total symptom score and health-related quality of life score.
  
  
  RESULTS
  There was a significant improvement in EGG parameters with electrical stimulation. Also, the patient had a marked improvement in total GI symptom score, from 11 to 4, with a dramatic improvement in the health-related quality of life score from -3 to +3.
  
  
  CONCLUSIONS
  Single case report.
  
  
  CONCLUSIONS
  Endoscopic placement of temporary electrodes is feasible and safe. GI electrical stimulation of the jejunal limb is a potentially effective treatment for Roux stasis syndrome.
authors.affiliation: Division of Digestive Diseases, University of Mississippi Medical Center, Jackson, Mississippi, USA.
authors.forename: Sumanth R
authors.initials: SR
authors.lastname: Daram
authors.forename: Shou-Jiang
authors.initials: SJ
authors.lastname: Tang
authors.forename: Kenneth
authors.initials: K
authors.lastname: Vick
authors.forename: Giorgio
authors.initials: G
authors.lastname: Aru
authors.forename: Christopher
authors.initials: C
authors.lastname: Lahr
authors.forename: Om
authors.initials: O
authors.lastname: Amin
authors.forename: Michelle
authors.initials: M
authors.lastname: Taylor
authors.forename: John J
authors.initials: JJ
authors.lastname: Sheehan
authors.forename: Thomas L
authors.initials: TL
authors.lastname: Abell
mesh_terms: D015746:Abdominal Pain / Q000209:etiology / Q000628:therapy; D000713:Anastomosis, Roux-en-Y / Q000009:adverse effects*; D004599:Electric Stimulation Therapy / Q000379:methods*; D004947:Esophagus / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects; D005772:Gastrointestinal Transit; D006801:Humans; D007582:Jejunostomy / Q000009:adverse effects; D008875:Middle Aged; D009325:Nausea / Q000209:etiology / Q000628:therapy; D012720:Severity of Illness Index; D013577:Syndrome; D014839:Vomiting / Q000209:etiology / Q000628:therapy