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Gastrectomy for Gastroparesis

  • Mary HawnEmail author
  • Matthew Cooper
Chapter

Abstract

Gastroparesis is a chronic disorder with a poorly understood pathophysiology. Dietary and lifestyle modification followed by medical treatment are first line treatment but often fail to control symptoms. Severe gastroparesis is an end-organ failure of the stomach which is often best treated with removal of the diseased organ. Roux-en-Y reconstruction with or without gastrectomy offers relief for patients when medical treatments fail. These patients often have many comorbidities which need to be optimized prior to surgery. Although gastrectomy offers significant improvement of symptoms, these patients have a higher rate of complication than other gastrectomy patients.

Keywords

Gastroparesis Gastrectomy Gastric bypass 

References

  1. 1.
    Jones M, Maganti K. A systematic review of surgical therapy for gastroparesis. Am J Gastroenterol. 2003;98:2122–9.CrossRefGoogle Scholar
  2. 2.
    Smith DS, Williams CS, Ferris CD. Diagnosis and treatment of chronic gastroparesis and chronic intestinal pseudo-obstruction. Gastroenterol Clin N Am. 2003;32:619–58.CrossRefGoogle Scholar
  3. 3.
    Sun Z, Rodriguez J, McMichael J, Chand B, Nash D, Brethauer S, Schauer P, El-Hayek K, Kroh M. Surgical treatment of medically refractory gastroparesis in the morbidly obese. Surg Endosc. 2015;29(9):2683–9.CrossRefGoogle Scholar
  4. 4.
    Bhayani NH, Sharata AM, Dunst CM, Kurian AA, Reavis KM, Swanstrom LL. End of the road for a dysfunctional end organ: laparoscopic gastrectomy for refractory gastroparesis. J Gastrointest Surg. 2015;19(3):411–7.CrossRefGoogle Scholar
  5. 5.
    Zehetner J, Ravari F, Ayazi S, Skibba A, Darehzereshki A, Pelipad D, Mason RJ, Katkhouda N, Lipham JC. Minimally invasive surgical approach for the treatment of gastroparesis. Surg Endosc. 2013;27:61–6.CrossRefGoogle Scholar

Copyright information

© SAGES 2019

Authors and Affiliations

  1. 1.Department of SurgeryStanford Hospital and ClinicsStanfordUSA

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