Does etiology of gastroparesis determine clinical outcomes in gastric electrical stimulation treatment of gastroparesis?

Kim, Doris; Gedney, Ryan; Allen, Shelby; Zlomke, Haley; Winter, Elizabeth M.; Craver, John; Pinnola, A D; Lancaster, William; Adams, David B.

doi:10.1007/s00464-020-07928-3

Cited by 9 publications

(4 citation statements)

References 12 publications

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“…The definition of reflux gastritis varies from study to study; whenever a postoperative complication in a study reports alkaline reflux gastritis or bile reflux gastritis, it is directly categorized as reflux gastritis. Postoperative gastroparesis is a disorder characterized by delayed gastric emptying of solid food in the absence of a mechanical obstruction of the stomach, resulting in the cardinal symptoms of early satiety, postprandial fullness, nausea, vomiting, belching, and bloating[ 23 ]. Postoperative ileus is a transient interruption of coordinated bowel motility after surgical intervention, which prevents the effective transit of the intestinal contents or tolerance of oral intake[ 24 ].…”

Section: Methodsmentioning

confidence: 99%

Comparison between laparoscopic uncut Roux-en-Y and Billroth II with Braun anastomosis after distal gastrectomy: A meta-analysis

Jiao¹,

Lu²,

Liu³

et al. 2022

WJGS

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BACKGROUND Conventional Billroth II (BII) anastomosis after laparoscopic distal gastrectomy (LDG) for gastric cancer (GC) is associated with bile reflux gastritis, and Roux-en-Y anastomosis is associated with Roux-Y stasis syndrome (RSS). The uncut Roux-en-Y (URY) gastrojejunostomy reduces these complications by blocking the entry of bile and pancreatic juice into the residual stomach and preserving the impulse originating from the duodenum, while BII with Braun (BB) anastomosis reduces the postoperative biliary reflux without RSS. Therefore, the purpose of this study was to compare the efficacy and safety of laparoscopic URY with BB anastomosis in patients with GC who underwent radical distal gastrectomy. AIM To evaluate the value of URY in patients with GC. METHODS PubMed, Embase, Web of Science, Cochrane Library, Chinese National Knowledge Infrastructure, Wanfang, Chinese Biomedical Database, and VIP Database for Chinese Technical Periodicals (VIP) were used to search relevant studies published from January 1994 to August 18, 2021. The following databases were also used in our search: Clinicaltrials.gov, Data Archiving and Networked Services, the World Health Organization International Clinical Trials Registry Platform Search Portal ( ), the reference lists of articles and relevant conference proceedings in August 2021. In addition, we conducted a relevant search by Reference Citation Analysis (RCA) ( ). We cited high-quality references using its results analysis functionality. The methodological quality of the eligible randomized clinical trials (RCTs) was evaluated using the Cochrane Risk of Bias Tool, and the non-RCTs were evaluated using the Newcastle-Ottawa scale. Statistical analyses were performed using Review Manager (Version 5.4). RESULTS Eight studies involving 704 patients were included in this meta-analysis. The incidence of reflux gastritis [odds ratio = 0.07, 95% confidence interval (CI): 0.03-0.19, P < 0.00001] was significantly lower in the URY group than in the BB group. The pH of the postoperative gastric fluid was lower in the URY group than in the BB group at 1 d [mean difference (MD) = -2.03, 95%CI: (-2.73)-(-1.32), P < 0.00001] and 3 d [MD = -2.03, 95%CI: (-2.57)-(-2.03), P < 0.00001] after the operation. However, no significant difference in all the intraoperative outcomes was found between the two groups. CONCLUSION This work suggests that URY is superior to BB in gastrointestinal reconstruction after LDG when considering postoperative outcomes.

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Section: Methodsmentioning

confidence: 99%

Comparison between laparoscopic uncut Roux-en-Y and Billroth II with Braun anastomosis after distal gastrectomy: A meta-analysis

Jiao¹,

Lu²,

Liu³

et al. 2022

WJGS

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“…No study demonstrated an impact of age, sex, or BMI, on the efficacy of the treatment. Several studies reported a better therapeutic response for patients with diabetic gastroparesis as compared to patients with idiopathic gastroparesis ( Maranki et al, 2008 ; Richmond et al, 2015 ; Kim et al, 2021 ), although some studies did not observe different outcomes ( Anaparthy et al, 2009 ; Gourcerol et al, 2009 ). Postoperative gastroparesis is also associated with a better response to GES therapy, except for patients with partial gastrectomy ( McCallum et al, 2005 ; Gourcerol et al, 2009 ).…”

Section: Clinical Efficacy Of Enterra Therapymentioning

confidence: 99%

Gastric Electrical Stimulation: Role and Clinical Impact on Chronic Nausea and Vomiting

Soliman

Gourcerol

2022

Front. Neurosci.

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Gastric electrical stimulation (GES) is currently used as an alternative treatment for medically refractory gastroparesis. GES has been initially developed to accelerate gastric motility, in order to relieve the symptoms of the patients. Subsequent studies, unfortunately, failed to demonstrate the acceleration of gastric emptying using high-frequency stimulation – low energy stimulation although the technique has shown a clinical impact with a reduction of nausea and vomiting for patients with gastroparesis. The present review details the clinical efficacy of GES in gastroparesis as well as its putative mechanisms of action.

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“…Otras medidas terapéuticas incluyen el uso de sondas o tubos para la alimentación e incluso intervención quirúrgica, como la pilorotomía, antrectomía o gastectomía total (34).…”

Section: Conclusiónunclassified

Neuropatía gastrointestinal diabética. Una revisión de la literatura

Centeno

Macías

2022

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Introducción: La diabetes mellitus posee una variedad de complicaciones, entre las que figura la gastroparesia diabética como la más común de ellas, afectando la morbilidad, mortalidad y calidad de vida de los pacientes. Objetivo: Realizar una revisión narrativa que describa la fisiopatología, manifestaciones clínicas, diagnóstico y tratamiento de la gastroparesia diabética. Método: Se realizó una búsqueda bibliográfica no sistemática en las bases de Scielo y PubMed, seleccionando fuentes en español o inglés que sean pertinentes para el objetivo de este estudio. Conclusión: La gastroparesia diabética es una complicación frecuente de la diabetes mellitus, con un origen multifactorial, y un diagnóstico basado en la cintigrafía de vaciamiento gástrico. Su tratamiento se basa en la dieta, mantener la euglicemia y manejo sintomático.

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Does etiology of gastroparesis determine clinical outcomes in gastric electrical stimulation treatment of gastroparesis?

Cited by 9 publications

References 12 publications

Comparison between laparoscopic uncut Roux-en-Y and Billroth II with Braun anastomosis after distal gastrectomy: A meta-analysis

Comparison between laparoscopic uncut Roux-en-Y and Billroth II with Braun anastomosis after distal gastrectomy: A meta-analysis

Gastric Electrical Stimulation: Role and Clinical Impact on Chronic Nausea and Vomiting

Neuropatía gastrointestinal diabética. Una revisión de la literatura

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