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
Gastric emptying study, endoscopy, motility studies, endoscopic temporary gastric stimulation trial
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.