Erschienen in:
06.10.2021 | Brief Communication
Maintenance of a Gastric Pacemaker in the Excluded Stomach During a Roux-en-Y Gastric Bypass Procedure in a Patient with Obesity, Type 1 Diabetes and Refractory Gastroparesis
verfasst von:
Mirella Hage, Clara Bouche, Benoit Coffin, Evangeline Pillebout, Jean-Luc Bouillot, Marie-Laure Raffin-Sanson, Marion Bretault
Erschienen in:
Obesity Surgery
|
Ausgabe 12/2021
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Excerpt
Gastroparesis is a chronic gastric motility disorder characterised by delayed gastric emptying without mechanical obstruction [
1]. Clinical symptoms of gastroparesis include nausea, vomiting, early satiety, bloating, belching and abdominal pain. The syndrome is caused by a neuromuscular dysfunction related to alterations in the extrinsic neural control, abnormalities of intrinsic gastric innervation and interstitial cells of Cajal as well as dysfunction of smooth muscle cells [
2]. Diabetes mellitus accounts for around one-third of cases of gastroparesis [
3]. Primary treatment involves optimization of glycemic control, dietary modification and pharmacologic therapy with antiemetic and prokinetic agents. However, in some patients, despite these measures, symptoms of gastroparesis persist and may be invalidating. Surgical interventions may be proposed to these patients including but not limited to gastric electrical stimulation, laparoscopic pyloroplasty and total/subtotal gastrectomy. …
