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Surgical Management for Gastroparesis.

Ahmed M Zihni1, Christy M Dunst1, Lee L Swanström2

  • 1Division of GI/MIS, The Oregon Clinic, 4805 Northeast Glisan, 6N60, Portland, OR 97213, USA.

Gastrointestinal Endoscopy Clinics of North America
|November 7, 2018
PubMed
Summary

Gastroparesis treatment often requires interventions beyond conservative measures. This study reviews surgical and endoscopic interventions for gastroparesis, offering treatment algorithms and outcomes data.

Keywords:
EndoscopyGastric stimulationGastroparesisLaparoscopyPOPPer oral myotomyPyloromyotomyPyloroplasty

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Medical Interventions

Background:

  • Gastroparesis is a chronic, debilitating disorder of unknown etiology.
  • Conservative treatments are standard, but many patients require advanced interventions.
  • Interventional options range from nutritional support to complex surgeries.

Purpose of the Study:

  • To present current treatment algorithms for gastroparesis.
  • To focus on the interventional aspect of gastroparesis management.
  • To provide outcomes data for various treatment approaches.

Main Methods:

  • Review of current gastroparesis treatment algorithms.
  • Analysis of outcomes data for surgical and endoscopic interventions.
  • Focus on interventional therapies for refractory gastroparesis.

Main Results:

  • Conservative management is insufficient for a significant patient subset.
  • Interventional options include feeding tubes, endoscopic pyloromyotomy, laparoscopic pyloroplasty, gastric stimulator placement, and gastrectomy.
  • Outcomes data support the efficacy of various interventional approaches.

Conclusions:

  • Interventional therapies are crucial for managing severe gastroparesis.
  • Treatment algorithms guide the selection of appropriate interventions.
  • Evidence-based outcomes data inform clinical decision-making for gastroparesis.