Gastric Pacing Is a New Surgical Treatment for Gastroparesis

Am J Surg. 2001 Dec;182(6):676-81. doi: 10.1016/s0002-9610(01)00802-9.

Abstract

Background: Gastroparesis is a chronic gastric motility disorder affecting mostly young and middle-aged women who present with nausea, abdominal pain, early satiety, vomiting, fullness, and bloating.

Methods: From April 1998 to September 2000, 25 patients underwent gastric pacemaker placement. All had documented delayed gastric emptying by a radionucleotide study. Nineteen patients had diabetic gastroparesis, 3 had developed postsurgical gastroparesis, and 3 had idiopathic gastroparesis. Baseline and postoperative follow-ups were done by a self-administered questionnaire on which the patients rated the severity and frequency of nausea and vomiting. Gastric emptying times were also followed up using a radionucleotide technique.

Results: Both the severity and frequency of nausea and vomiting improved significantly at 3 months and was sustained for 12 months. Gastric emptying time was also numerically faster over the 12-month period. Three of the devices have been removed. One patient died of causes unrelated to the pacemaker 10 months postoperatively.

Conclusions: After placement of the gastric pacemaker, patients rated significantly fewer symptoms and had a modest acceleration of gastric emptying.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Diabetes Complications
  • Female
  • Follow-Up Studies
  • Gastroparesis / diagnostic imaging
  • Gastroparesis / etiology
  • Gastroparesis / surgery*
  • Humans
  • Male
  • Middle Aged
  • Pacemaker, Artificial*
  • Postoperative Complications
  • Prostheses and Implants
  • Radionuclide Imaging
  • Reoperation
  • Stomach*