This is a video of a laparoscopic implantation of a gastric electrical stimulator in a 13 year old girl with severe gastroparesis and functional dyspepsia. She had a temporary trial performed the week before that was successful in improving her symptoms, and therefore we proceeded with a permanent implantation. She has done well and has been able to eat food again after over a year of just liquids and has not been admitted to the hospital since surgery.
Laparoscopic implantation of a gastric electrical stimulator
Severe gastroparesis and functional dyspepsia
Failure of a temporary stimulation trial at relief of symptoms
Lithotomy position and supine. Surgeon stands between the legs. Three ports - 5 mm camera, 5 mm RUQ and 12 mm LUQ working ports with implantation in LUQ.
EGD to ensure no perforation with leads
In adults, implant leads 1 cm apart about 10-12 cm proximal to pylorus.
Helps significantly in patients with severe gastroparesis and nausea, emesis and pain.
Failure of the device in relief of symptoms. gastric perforation.
1. Long-term outcomes of gastric electrical stimulation in children with gastroparesis. J Pediatr Surg. 2016 Jan;51(1):67-71
2. Gastric electrical stimulation for children with intractable nausea and gastroparesis. J Pediatr Surg. 2008 Mar;43(3):437-42
3. Spectrum of gastroparesis in children. J Pediatr Gastroenterol Nutr. 2012 Aug;55(2):166-72.