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Surgical Management: Gastric Neurostimulation

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The SAGES Manual of Foregut Surgery

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Abstract

Gastric electrical stimulation (GES) is a powerful antiemetic therapy for patients with refractory nausea and emesis and is most efficacious in diabetic gastroparesis.

Surgical pyloroplasty can be considered a primary therapy or can be safely added to GES therapy to accelerate gastric emptying.

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References

  1. Abell T, McCallum R, Hocking M, Koch K, Abrahamsson H, LeBlanc I, Lindberg G, Konturek J, Nowak T, Quigley EMM, Tougas G, Starkebaum W. Gastric electrical stimulation for medically refractory gastroparesis. Gastroenterology 2003;125(2):421–28.

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  2. McCallum RW, Lin Z, Forster J, Roesser K, Hou Q, Sarosiek I. Gastric electrical stimulation improves outcomes for patents with gastroparesis for up to 10 years. Clin Gastroenterol Hepatol. 2011;9(4):314–9.

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  3. Sarosiek I, Davis B, Eichler E, McCallum RW. Surgical approaches to treatment of gastroparesis: gastric electrical stimulation, pyloroplasty, total gastrectomy and enteral feeding tubes. Gastroenterol Clin N Am. 2015;44:151–67.

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  4. Sarosiek I, Forster J, Lin Z, Cherry S, Sarosiek J, McCallum R. The addition of pyloroplasty as anew surgical approach to enhance effectiveness of gastric electrical stimulation therapy in patients with gastroparesis. Neurogastroenterol Motil. 2013;25(2):134–80.

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  5. Davis BR, Sarosiek I, Bashashati M, Alvarado B, McCallum RW. The long-term efficacy and safety of pyloroplasty combined with gastric electrical stimulation therapy in gastroparesis. J Gastrointest Surg. 2017;21(2):222–7.

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Author information

Authors and Affiliations

  1. Department of Surgery, Texas Tech Paul L. Foster School of Medicine, El Paso, TX, USA

    Brian Richard Davis

Authors
  1. Brian Richard Davis
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Corresponding author

Correspondence to Brian Richard Davis .

Editor information

Editors and Affiliations

  1. University of Alabama at Birmingham , Birmingham, AL, USA

    Jayleen Grams

  2. The Ohio State University, Columbus, OH, USA

    Kyle A. Perry

  3. Brigham and Women’s Hospital, Boston, MA, USA

    Ali Tavakkoli

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Davis, B.R. (2019). Surgical Management: Gastric Neurostimulation. In: Grams, J., Perry, K., Tavakkoli, A. (eds) The SAGES Manual of Foregut Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-96122-4_72

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  • DOI: https://doi.org/10.1007/978-3-319-96122-4_72

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-96121-7

  • Online ISBN: 978-3-319-96122-4

  • eBook Packages: MedicineMedicine (R0)

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