Combined Gastric Electrical Stimulation and Pyloroplasty in Gastroparesis: A Randomized Clinical Trial.

ABSTRACT:

Importance

Patients with gastroparesis who do not respond to medical therapy may require surgical intervention, typically involving pyloroplasty (PP) alone or with implantation of a gastric electrical stimulation (GES) device.

Objective

To investigate the outcomes of combining PP with GES in medication-refractory gastroparesis.

Design, setting, and participants

This double-blind randomized clinical trial included patients who had diabetic or idiopathic gastroparesis. Patients from a US academic gastrointestinal motility clinic, who failed medical therapy, were included from January 10, 2017, to September 20, 2023. Patients were followed up for 6 months.

Interventions

Patients with refractory gastroparesis underwent simultaneous implantation of GES with PP and w

SUBMITTER: Sarosiek I 

PROVIDER: S-EPMC12690432 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature