Gastric Electrical Stimulation in Intractable Symptomatic Gastroparesis Academic Article uri icon

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abstract

  • BACKGROUND: The treatment of gastroparesis remains unsatisfactory despite prokinetic and anti-emetic drugs. Gastric electrical stimulation has been proposed as a therapeutic option. We have assessed the effect of gastric electrical stimulation on symptoms, medical treatment, body weight and gastric emptying in patients with intractable symptomatic gastroparesis in a non-placebo-controlled study. METHODS: In this multicenter study, 38 highly symptomatic patients with drug-refractory gastroparesis were enrolled. Patients first received temporary electrical stimulation using percutaneous electrodes. The 33 responders to temporary stimulation then underwent surgical implantation of a permanent stimulator. Severity of vomiting and nausea was assessed before and after stimulation. Patients were reassessed 3, 6, and 12 months after permanent implantation. RESULTS: With stimulation, 35/38 patients (97%) experienced >80% reduction in vomiting and nausea. This effect persisted throughout the observation period (2.9-15.6 months, 341 patient-months). Gastric emptying did not initially change, but improved in most patients at 12 months. At 1 year, the average weight gain was 5.5% and 9/14 patients initially receiving enteral or parenteral nutrition were able to discontinue it. CONCLUSION: Electrical stimulation of the stomach has an immediate and potent anti-emetic effect. It offers a safe and effective alternative for patients with intractable symptomatic gastroparesis.

authors

  • Abell, Thomas L
  • van Cutsem, Eric
  • Abrahamsson, Hasse
  • Huizinga, Jan
  • Konturek, JW
  • Galmiche, Jean Paul
  • VoelIer, Guy
  • Filez, Ludo
  • Everts, Bernt
  • Waterfall, William E
  • Domschke, W
  • Bruley des Varannes, Stanislas
  • Familoni, Babajide O
  • Bourgeois, Ivan M
  • Janssens, Jozef
  • Tougas, Gervais

publication date

  • 2002