Post 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.

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