Endoscopic aspects of temporary gastric electrical stimulator lead placement

Abell_headshot_1Abell_headshot_2Post written by Minesh Mehta, MD, and Gregg Wendorf, MD, from the Department of Medicine, Division of Gastroenterology, Hepatology, and Nutrition, University of Louisville, Louisville, Kentucky, USA.

Our video details the technique and tools required to successfully and safely place temporary gastric electrodes endoscopically, even in the presence of retained gastric contents.

Gastric electrical stimulation can reduce symptoms of abdominal pain, nausea, and vomiting in patients affected by gastroparesis and gastroparesis-like syndromes. Our novel endoscopic technique and therapy with gastric electrical stimulation has a significant impact on this subset of patients.

While understanding the endoscopic anatomy of the stomach, utilizing precise control of endoclips, and learning the technical aspects of electrodes form the critical foundation for this novel endoscopic procedure, the most important consideration is risk  for aspiration and type of anesthesia used as these patients tend to have retained gastric and esophageal contents at the time of endoscopy.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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