Gastric Electrical Stimulation for Refractory Gastroparesis: A Promising Treatment Modality for Symptom Control and Gastric Emptying

Abstract

Gastroparesis is a disorder with few available treatments and delayed stomach emptying. Gastric electrical stimulation (GES) has shown promise in treating the signs and symptoms of gastroparesis as well as gastric emptying by stimulating the stomach with high-frequency electrical impulses. In this case, a 43-year-old lady with refractory gastroparesis had a GES device laparoscopically implanted. Even though GES seems promising, more study is necessary to improve patient choice, technique, and long-term results. Patients with refractory gastroparesis who have not responded to traditional therapy should be considered for GES, with treatment decisions being made individually depending on clinical presentation and patient preferences.

Enteric neuropathy in diabetes: Implications for gastrointestinal function

“…Emerging therapies such as gastric electrical stimulation show promise, especially in gastroparesis cases unresponsive to conventional treatments[ 131 , 132 ]. In severe cases, endoscopic and surgical interventions, like pyloric botulinum toxin injections or gastric per-oral endoscopic myotomy, are considered but are generally reserved for refractory cases due to their invasive nature[ 133 , 134 ].…”