Stent Placement for the Treatment of Gastroparesis

Olaya I. Brewer Gutierrez, Mouen Khashab

Research output: Contribution to journalReview article

Abstract

Gastroparesis is a syndrome of delayed gastric emptying. First-line treatment includes prokinetic medications. Those refractory to medical treatment are occasionally considered for endoscopic or surgical treatment options, with unpredictable response. The pylorus plays a key role in gastric emptying, with pylorospasm as the underlying mechanism of gastroparesis in some patients. Procedures aiming at disruption of the pylorus have improved gastroparesis symptoms in this subset of patients. These include transpyloric stenting, used for inpatients with refractory symptoms to allow hospital discharge or as a triage to assess symptoms response in patients considered for more definite therapies such as pyloromyotomy.

Original languageEnglish (US)
Pages (from-to)107-115
Number of pages9
JournalGastrointestinal Endoscopy Clinics of North America
Volume29
Issue number1
DOIs
StatePublished - Jan 1 2019

Keywords

  • Delayed gastric emptying
  • Gastroparesis
  • Pylorospasm
  • Transpyloric stenting

ASJC Scopus subject areas

  • Gastroenterology

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