Treatment of refractory gastroparesis: gastric and jejunal tubes, botox, gastric electrical stimulation, and surgery.

Reza A Hejazi, Richard W McCallum

Journal: Gastrointestinal endoscopy clinics of North America 2010;19(1):73-82, vi

PMID: 19232282

Full Text on Elsevier Science View on PubMed

Abstract

Refractory gastroparesis is a challenging disorder for gastroenterologists, internists, surgeons, and all health care professionals involved in the care of these patients. It should be managed by a stepwise algorithm beginning with dietary modifications, then prokinetic and antiemetic medications, measures to control pain and address psychological issues, and endoscopic or surgical options in selected patients, including placement of feeding jejunostomy tubes.

Address: Department of Medicine, Center for GI Nerve & Muscle Function, Division of GI Motility, Kansas University Medical Center, 3901 Rainbow Boulevard, MS 1058, Kansas City, KS 66160, USA.

DOI: 10.1016/j.giec.2008.12.010

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MeSH Terms: Algorithms, Anti-Dyskinesia Agents, Antiemetics, Botulinum Toxins, Dopamine Antagonists, Electric Stimulation Therapy, Gastrectomy, Gastroparesis, Humans, Jejunostomy, Nutritional Support, Receptors, Gastrointestinal Hormone, Receptors, Neuropeptide, Recurrence, Stomach, Treatment Outcome