Document Detail


Gastric electric stimulation for the treatment of gastroparesis.
MedLine Citation:
PMID:  17883975     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gastric electric stimulation is an emerging therapy for refractory gastroparesis. Several methods have been used to electrically stimulate the stomach. Initial studies used gastric electrical pacing, which entrains and paces the gastric slow waves at a slightly higher rate than the patient's normal myoelectric frequency of 3 cycles per minute (cpm). The technique currently practiced uses high-frequency, low-energy stimulation at four times the basal rate (12 cpm). Results from published studies with high-frequency stimulation reveal an improvement in symptoms, primarily of nausea and vomiting, and primarily in patients with diabetic gastroparesis, with only a modest change in gastric emptying. As treatment with gastric electric stimulation evolves, further delineation of its overall effectiveness, the type of patient that will likely respond, optimal electrode placement(s), and stimulus parameters should be explored.
Authors:
Jennifer Maranki; Henry P Parkman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current gastroenterology reports     Volume:  9     ISSN:  1522-8037     ISO Abbreviation:  Curr Gastroenterol Rep     Publication Date:  2007 Aug 
Date Detail:
Created Date:  2007-09-21     Completed Date:  2007-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888896     Medline TA:  Curr Gastroenterol Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  286-94     Citation Subset:  IM    
Affiliation:
Gastroenterology Section, Temple University School of Medicine, Gastroenterology Section, Parkinson Pavilion, 8th Floor, 3401 North Broad Street, Philadelphia, PA 19140, USA.
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MeSH Terms
Descriptor/Qualifier:
Electric Stimulation Therapy / methods*
Gastric Emptying / physiology
Gastroparesis / physiopathology,  therapy*
Humans
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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