Slide 1

Overview

Defining Gastroparesis

Slide 4

Slide 5

Diabetic Gastroparesis

Idiopathic Gastroparesis

Postsurgical Gastroparesis

Diagnosing Gastroparesis

History and Physical Exam

Traditional Management
Treatment Continuum

Dietary Modification

Drug Therapy

Enteral Feeding: Jejunostomy

Enteral Feeding: Gastrostomy

Surgical Procedures

Total Parental Feeding

Enterra Therapy

1963 – Bilgutay et al.- The concept of Electrical stimulation was born, when gastric stimulation was practiced for the treatment of postoperative ileus.

The History of Gastric Stimulation

Gastric Pacing vs. Neurostimulation

Enterra Therapy: U. S. Indication

Slide 23

Slide 24

Patient Demographics

Slide 26

Slide 27

Slide 28

Slide 29

Slide 30

Slide 31

Slide 32

SF-36 (QOL) Scoring:

Slide 34

 Mean Hospital Days

Slide 36

WAVESS Conclusions

Surgery

Laparoscopic Placement

Port Placement

Lead Location

Lead Placement

Slide 43

Lead Fixation

Slide 45

Stimulator Pocket

"Leads connected and tightened"

"Programming"

Patient Follow-Up

Post-Operative Considerations

Gastric Stimulation Program History

Enterra Implanting Centers