Gastroparesis surgery: Difference between revisions
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Surgical treatment is rarely indicated for the treatment of gastroparesis, however it can be useful in patients with persistent symptoms despite medical management. | Surgical treatment is rarely indicated for the treatment of gastroparesis, however it can be useful in patients with persistent symptoms despite medical management. | ||
===Surgical techniques=== | ===Surgical techniques=== | ||
Following surgical options are available:<ref name="pmid3921005">{{cite journal| author=Pitt HA, Mann LL, Berquist WE, Ament ME, Fonkalsrud EW, DenBesten L| title=Chronic intestinal pseudo-obstruction. Management with total parenteral nutrition and a venting enterostomy. | journal=Arch Surg | year= 1985 | volume= 120 | issue= 5 | pages= 614-8 | pmid=3921005 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3921005 }} </ref><ref name="pmid8540505">{{cite journal| author=Murr MM, Sarr MG, Camilleri M| title=The surgeon's role in the treatment of chronic intestinal pseudoobstruction. | journal=Am J Gastroenterol | year= 1995 | volume= 90 | issue= 12 | pages= 2147-51 | pmid=8540505 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8540505 }} </ref><ref name="pmid12560910">{{cite journal| author=Shibata C, Naito H, Funayama Y, Fukushima K, Hashimoto A, Kitayama T et al.| title=Surgical treatment of chronic intestinal pseudo-obstruction: report of three cases. | journal=Surg Today | year= 2003 | volume= 33 | issue= 1 | pages= 58-61 | pmid=12560910 | doi=10.1007/s005950300011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12560910 }} </ref><ref name="pmid16291165">{{cite journal| author=Kim HY, Kim JH, Jung SE, Lee SC, Park KW, Kim WK| title=Surgical treatment and prognosis of chronic intestinal pseudo-obstruction in children. | journal=J Pediatr Surg | year= 2005 | volume= 40 | issue= 11 | pages= 1753-9 | pmid=16291165 | doi=10.1016/j.jpedsurg.2005.07.046 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16291165 }} </ref><ref name="pmid14572555">{{cite journal| author=Jones MP, Maganti K| title=A systematic review of surgical therapy for gastroparesis. | journal=Am J Gastroenterol | year= 2003 | volume= 98 | issue= 10 | pages= 2122-9 | pmid=14572555 | doi=10.1111/j.1572-0241.2003.07721.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14572555 }} </ref><ref name="pmid2910126">{{cite journal| author=Karlstrom L, Kelly KA| title=Roux-Y gastrectomy for chronic gastric atony. | journal=Am J Surg | year= 1989 | volume= 157 | issue= 1 | pages= 44-9 | pmid=2910126 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2910126 }} </ref><ref name="pmid23147521">{{cite journal| author=Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L, American College of Gastroenterology| title=Clinical guideline: management of gastroparesis. | journal=Am J Gastroenterol | year= 2013 | volume= 108 | issue= 1 | pages= 18-37; quiz 38 | pmid=23147521 | doi=10.1038/ajg.2012.373 | pmc=3722580 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23147521 }} </ref><ref name="pmid8855743">{{cite journal| author=Fontana RJ, Barnett JL| title=Jejunostomy tube placement in refractory diabetic gastroparesis: a retrospective review. | journal=Am J Gastroenterol | year= 1996 | volume= 91 | issue= 10 | pages= 2174-8 | pmid=8855743 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8855743 }} </ref> | Following surgical options are available:<ref name="pmid3921005">{{cite journal| author=Pitt HA, Mann LL, Berquist WE, Ament ME, Fonkalsrud EW, DenBesten L| title=Chronic intestinal pseudo-obstruction. Management with total parenteral nutrition and a venting enterostomy. | journal=Arch Surg | year= 1985 | volume= 120 | issue= 5 | pages= 614-8 | pmid=3921005 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=3921005 }} </ref><ref name="pmid8540505">{{cite journal| author=Murr MM, Sarr MG, Camilleri M| title=The surgeon's role in the treatment of chronic intestinal pseudoobstruction. | journal=Am J Gastroenterol | year= 1995 | volume= 90 | issue= 12 | pages= 2147-51 | pmid=8540505 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8540505 }} </ref><ref name="pmid12560910">{{cite journal| author=Shibata C, Naito H, Funayama Y, Fukushima K, Hashimoto A, Kitayama T et al.| title=Surgical treatment of chronic intestinal pseudo-obstruction: report of three cases. | journal=Surg Today | year= 2003 | volume= 33 | issue= 1 | pages= 58-61 | pmid=12560910 | doi=10.1007/s005950300011 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12560910 }} </ref><ref name="pmid16291165">{{cite journal| author=Kim HY, Kim JH, Jung SE, Lee SC, Park KW, Kim WK| title=Surgical treatment and prognosis of chronic intestinal pseudo-obstruction in children. | journal=J Pediatr Surg | year= 2005 | volume= 40 | issue= 11 | pages= 1753-9 | pmid=16291165 | doi=10.1016/j.jpedsurg.2005.07.046 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16291165 }} </ref><ref name="pmid14572555">{{cite journal| author=Jones MP, Maganti K| title=A systematic review of surgical therapy for gastroparesis. | journal=Am J Gastroenterol | year= 2003 | volume= 98 | issue= 10 | pages= 2122-9 | pmid=14572555 | doi=10.1111/j.1572-0241.2003.07721.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14572555 }} </ref><ref name="pmid2910126">{{cite journal| author=Karlstrom L, Kelly KA| title=Roux-Y gastrectomy for chronic gastric atony. | journal=Am J Surg | year= 1989 | volume= 157 | issue= 1 | pages= 44-9 | pmid=2910126 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2910126 }} </ref><ref name="pmid23147521">{{cite journal| author=Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L, American College of Gastroenterology| title=Clinical guideline: management of gastroparesis. | journal=Am J Gastroenterol | year= 2013 | volume= 108 | issue= 1 | pages= 18-37; quiz 38 | pmid=23147521 | doi=10.1038/ajg.2012.373 | pmc=3722580 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23147521 }} </ref><ref name="pmid8855743">{{cite journal| author=Fontana RJ, Barnett JL| title=Jejunostomy tube placement in refractory diabetic gastroparesis: a retrospective review. | journal=Am J Gastroenterol | year= 1996 | volume= 91 | issue= 10 | pages= 2174-8 | pmid=8855743 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8855743 }} </ref><ref name="pmid24914371">{{cite journal| author=Pang B, Zhou Q, Li JL, Zhao LH, Tong XL| title=Treatment of refractory diabetic gastroparesis: Western medicine and traditional Chinese medicine therapies. | journal=World J Gastroenterol | year= 2014 | volume= 20 | issue= 21 | pages= 6504-14 | pmid=24914371 | doi=10.3748/wjg.v20.i21.6504 | pmc=4047335 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24914371 }} </ref> | ||
*Placement of an entrostomy tube such as gastrostomy or jejunostomy tube | *Placement of an entrostomy tube such as gastrostomy or jejunostomy tube | ||
*Surgical pyloroplasty | *Surgical pyloroplasty | ||
*Subtotal gastrectomy | *Subtotal gastrectomy | ||
===Decompression and Enterostomy tube placement=== | ===Decompression and Enterostomy tube placement=== | ||
Revision as of 22:27, 7 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Feham Tariq, MD [2]
Overview
Surgical treatment is rarely indicated for the treatment of gastroparesis, however it can be useful in patients with persistent symptoms despite medical management.
Surgery
Surgical treatment is rarely indicated for the treatment of gastroparesis, however it can be useful in patients with persistent symptoms despite medical management.
Surgical techniques
Following surgical options are available:[1][2][3][4][5][6][7][8][9]
- Placement of an entrostomy tube such as gastrostomy or jejunostomy tube
- Surgical pyloroplasty
- Subtotal gastrectomy
Decompression and Enterostomy tube placement
Jejunostomy
- Jejunostomy tube is inserted through the abdomen directly into the small bowel.
- It bypasses the stomach and feeds nutrients straight into the small intestine.
- The nutrients are then digested and distributed to the bloodstream quickly.
Video
The video illustrates the steps of jejunostomy tube placement. {{#ev:youtube|f0ceH07d8t0}}
References
- ↑ Pitt HA, Mann LL, Berquist WE, Ament ME, Fonkalsrud EW, DenBesten L (1985). "Chronic intestinal pseudo-obstruction. Management with total parenteral nutrition and a venting enterostomy". Arch Surg. 120 (5): 614–8. PMID 3921005.
- ↑ Murr MM, Sarr MG, Camilleri M (1995). "The surgeon's role in the treatment of chronic intestinal pseudoobstruction". Am J Gastroenterol. 90 (12): 2147–51. PMID 8540505.
- ↑ Shibata C, Naito H, Funayama Y, Fukushima K, Hashimoto A, Kitayama T; et al. (2003). "Surgical treatment of chronic intestinal pseudo-obstruction: report of three cases". Surg Today. 33 (1): 58–61. doi:10.1007/s005950300011. PMID 12560910.
- ↑ Kim HY, Kim JH, Jung SE, Lee SC, Park KW, Kim WK (2005). "Surgical treatment and prognosis of chronic intestinal pseudo-obstruction in children". J Pediatr Surg. 40 (11): 1753–9. doi:10.1016/j.jpedsurg.2005.07.046. PMID 16291165.
- ↑ Jones MP, Maganti K (2003). "A systematic review of surgical therapy for gastroparesis". Am J Gastroenterol. 98 (10): 2122–9. doi:10.1111/j.1572-0241.2003.07721.x. PMID 14572555.
- ↑ Karlstrom L, Kelly KA (1989). "Roux-Y gastrectomy for chronic gastric atony". Am J Surg. 157 (1): 44–9. PMID 2910126.
- ↑ Camilleri M, Parkman HP, Shafi MA, Abell TL, Gerson L, American College of Gastroenterology (2013). "Clinical guideline: management of gastroparesis". Am J Gastroenterol. 108 (1): 18–37, quiz 38. doi:10.1038/ajg.2012.373. PMC 3722580. PMID 23147521.
- ↑ Fontana RJ, Barnett JL (1996). "Jejunostomy tube placement in refractory diabetic gastroparesis: a retrospective review". Am J Gastroenterol. 91 (10): 2174–8. PMID 8855743.
- ↑ Pang B, Zhou Q, Li JL, Zhao LH, Tong XL (2014). "Treatment of refractory diabetic gastroparesis: Western medicine and traditional Chinese medicine therapies". World J Gastroenterol. 20 (21): 6504–14. doi:10.3748/wjg.v20.i21.6504. PMC 4047335. PMID 24914371.