Advertisement

Gastroparesis pp 101-109 | Cite as

Post-Surgical Gastroparesis

  • Mac Kenzie Landin
  • Philip OmotoshoEmail author
Chapter

Abstract

Gastroparesis is an entity most commonly discussed as a consequence of diabetes mellitus. However, diabetes is a factor in only about a third of patients who present with this clinical problem. Gastroparesis can be debilitating, resulting in poor quality of life, recurrent hospital admissions, and often multiple medications and procedures. Historically, postsurgical gastroparesis was diagnosed after surgical treatment of peptic ulcer disease with vagotomy to reduce gastric acid. Although acid-reduction surgery is significantly less common today, symptoms of gastroparesis following procedures like sleeve gastrectomy or fundoplication are a known cause of postoperative morbidity. This chapter addresses gastroparesis occurring in the postoperative setting. It explores the natural history of this clinical entity, reviews possible mechanisms, and discusses available treatment options.

Keywords

Gastroparesis Postoperative gastroparesis Postsurgical gastroparesis Gastric emptying Pyloroplasty Gastric stimulation Per-oral pyloromyotomy 

Bibliography

  1. 1.
    Arthur LE, Slattery L, Richardson W. Tailored approach to gastroparesis significantly improves symptoms. Surg Endosc. 2018;32(2):977–82.CrossRefGoogle Scholar
  2. 2.
    Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L. Clinical guideline: management of gastroparesis. Am J Gastroenterol. 2013;108(1):18–38.CrossRefGoogle Scholar
  3. 3.
    Corvinus FM, et al. Minimal-invasive temporary gastric stimulation: a pilot study to predict the outcome of electronic gastric stimulation with the Enterra system. Dig Liver Dis. 2018;50(10):1030–4.CrossRefGoogle Scholar
  4. 4.
    Dong K, Yu XJ, Li B, Wen EG, Xiong W, Guan QL. Advances in mechanisms of postsurgical gastroparesis syndrome and its diagnosis and treatment. Chin J Dig Dis. 2006;7:76–82.CrossRefGoogle Scholar
  5. 5.
    Gilsdorf D, Volkmann E, Brickley A, Taylor LJ, Glasgow RE, Fang J. Pyloroplasty offers relief of postfundoplication gastroparesis in patients who improved after botulinum toxin injection. J Laparoendosc Adv Surg Tech A. 2017;27(11):1180–4.CrossRefGoogle Scholar
  6. 6.
    Hibbard ML, Dunst CM, Swanström LL. Laparoscopic and endoscopic pyloroplasty for gastroparesis results in sustained symptom improvement. J Gastrointest Surg. 2011;15:1513–9.CrossRefGoogle Scholar
  7. 7.
    Jayanthi NVG, et al. Gastric electrical stimulation. J Minim Access Surg. 2013;9(4):163–6.CrossRefGoogle Scholar
  8. 8.
    Khashab MA, et al. Refractory gastroparesis can be successfully managed with endoscopic trans pyloric stent placement and fixation. Gastrointest Endosc. 2015;82(6):1106–9.CrossRefGoogle Scholar
  9. 9.
    Landrenau JP, Strong AT, El-Hayek K, Tu C, Villamere J, Ponsky JL, Kroh MD, Rodriguez JH. Laparoscopic pyloroplasty versus endoscopic per-oral pyloromyotomy for the treatment of gastroparesis. Surg Endosc. 2019;33(3):773–81.CrossRefGoogle Scholar
  10. 10.
    Papasavas PK, et al. Gastric bypass surgery as treatment of recalcitrant gastroparesis. Surg Obes Relat Dis. 2014;10:795–800.CrossRefGoogle Scholar
  11. 11.
    Parkman HP. The GI surgeon and gastroparesis. GI motility, a series from the AMS. Series 9. Pract Gastroenterol. 2007;31:54–66.Google Scholar
  12. 12.
    Shada AL, Dunst CM, Pescarus R, Speer EA, Cassera M, Reavis KM, Swanstorm LL. Laparoscopic pyloroplasty is a safe and effective first-line surgical therapy for refractory gastroparesis. Surg Endosc. 2016;30:1326–32.CrossRefGoogle Scholar
  13. 13.
    Shafi MA, Pasricha PJ. Post-surgical and obstructive gastroparesis. Curr Gastroenterol Rep. 2007;9:280–5.CrossRefGoogle Scholar
  14. 14.
    Jayanthi NVG, Dexter SPL, Sarela AI. Gastric electrical stimulation for treatment of clinically severe gastroparesis. J Minim Access Surg. 2013;9(4):163–7.CrossRefGoogle Scholar
  15. 15.
    Quigley EM. Other forms of gastroparesis. Gastroenterol Clin North Am. 2015;44(1):69–81.CrossRefGoogle Scholar
  16. 16.
  17. 17.
    Ziessman HA, et al. The added diagnostic value of liquid gastric emptying compared to solid emptying alone. J Nucl Med. 2009;50(5):726–31.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of SurgeryRush University Medical CenterChicagoUSA

Personalised recommendations