Treatment of gastroparesis: a multidisciplinary clinical review
Thomas L. AbellVr. K. BernsteinTeresa CuttsGianrico FarrugiaJ. FörsterWilliam L. HaslerRichard W. McCallumKevin W. OldenHenry P. ParkmanCarol Rees ParrishP. J. PasrichaCharlene M. PratherE. E. SofferRobert K. TwillmanA Vinik
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Abstract This clinical review on the treatment of patients with gastroparesis is a consensus document developed by the American Motility Society Task Force on Gastroparesis. It is a multidisciplinary effort with input from gastroenterologists and other specialists who are involved in the care of patients with gastroparesis. To provide practical guidelines for treatment, this document covers results of published research studies in the literature and areas developed by consensus agreement where clinical research trials remain lacking in the field of gastroparesis.Keywords:
Gastroparesis
Task force
Gastroparesis is a disorder with few available treatments and delayed stomach emptying. Gastric electrical stimulation (GES) has shown promise in treating the signs and symptoms of gastroparesis as well as gastric emptying by stimulating the stomach with high-frequency electrical impulses. In this case, a 43-year-old lady with refractory gastroparesis had a GES device laparoscopically implanted. Even though GES seems promising, more study is necessary to improve patient choice, technique, and long-term results. Patients with refractory gastroparesis who have not responded to traditional therapy should be considered for GES, with treatment decisions being made individually depending on clinical presentation and patient preferences.
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