title: 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: Division of Gastroenterology, Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX 79905, USA.
authors: Irene
authors: I
authors: Sarosiek
authors: Department of Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX 79905, USA.
authors: Brian
authors: B
authors: Davis
authors: Division of Gastroenterology, Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX 79905, USA.
authors: Evelin
authors: E
authors: Eichler
authors: Division of Gastroenterology, Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX 79905, USA. Electronic address: richard.mccallum@ttuhsc.edu.
authors: Richard W
authors: RW
authors: McCallum
mesh_terms: D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000379:methods; D004750:Enteral Nutrition / Q000379:methods; D005743:Gastrectomy / Q000379:methods; D018589:Gastroparesis / Q000601:surgery* / Q000628:therapy; D006801:Humans; D007582:Jejunostomy; D011708:Pylorus / Q000601:surgery*; D016896:Treatment Outcome
keywords: Gastric electrical stimulation; Gastroparesis; Gastrostomy tubes; Jejunostomy tubes; Total gastrectomy pyloroplasty; Treatment