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Temporary percutaneous and permanent gastric electrical stimulation in children younger than 3 years with chronic

Anders Elfvin1, Gunnar Göthberg2, Hans Lönroth3

  • 1Department of Pediatrics, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, 416 85 Gothenburg, Sweden.

Journal of Pediatric Surgery
|April 19, 2011
PubMed

Insights

Temporary percutaneous gastric electrical stimulation (TPGES) is safe and effective for treating young children with intractable nausea and vomiting. This method helps identify patients who will benefit from permanent gastric electrical stimulation (GES).

Area of Science:

  • Pediatric Gastroenterology
  • Medical Device Technology
  • Clinical Trials

Background:

  • Investigating gastric electrical stimulation (GES) for drug-refractory nausea and vomiting in young children.
  • Evaluating temporary percutaneous gastric electrical stimulation (TPGES) for pediatric patient selection.
  • Reporting on the youngest patients (2-3 years) treated with GES.

Observation:

  • Three pediatric patients under 3 years with intractable vomiting underwent TPGES.
  • Custom leads were percutaneously implanted under gastroscopic guidance.
  • Daily symptom recording during 12-40 days of TPGES.

Findings:

  • No technical issues encountered during TPGES procedures.
  • All three pediatric patients responded positively to TPGES.
  • Patients achieved >50% vomiting reduction with permanent GES.

Implications:

  • GES is a viable treatment option for children under 3 with intractable vomiting.
  • TPGES is a safe and feasible method for selecting pediatric GES responders.
  • This technique allows for extended testing periods to ensure treatment efficacy.
Abstract

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