Gastric Electrical Stimulation with the Enterra System: A Systematic Review
Joint Authors
Lal, Nikhil
Livemore, Sam
Dunne, Declan
Khan, Iftikhar
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-12
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Gastric electrical stimulation (GES) is a surgically implanted treatment option for refractory gastroparesis.
Aim.
To systematically appraise the current evidence for the use of gastric electrical stimulation and suggest a method of standardisation of assessment and follow-up in these patients.
Methods.
A systematic review of PubMed, Web of Science, DISCOVER, and Cochrane Library was conducted using the keywords including gastric electrical stimulation, gastroparesis, nausea, and vomiting and neuromodulation, stomach, central nervous system, gastric pacing, electrical stimulation, and gastrointestinal.
Results.
1139 potentially relevant articles were identified, of which 21 met the inclusion criteria and were included.
The quality of studies was variable.
There was a variation in outcome measures and follow-up methodology.
Included studies suggested significant reductions in symptom severity reporting over the study period, but improvements in gastric emptying time were variable and rarely correlated with symptom improvement.
Conclusion.
The evidence in support of gastric electrical stimulation is limited and heterogeneous in quality.
While current evidence has shown a degree of efficacy in these patients, high-quality, large clinical trials are needed to establish the efficacy of this therapy and to identify the patients for whom this therapy is inappropriate.
A consensus view on essential preoperative assessment and postoperative measurement is needed.
American Psychological Association (APA)
Lal, Nikhil& Livemore, Sam& Dunne, Declan& Khan, Iftikhar. 2015. Gastric Electrical Stimulation with the Enterra System: A Systematic Review. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1064114
Modern Language Association (MLA)
Lal, Nikhil…[et al.]. Gastric Electrical Stimulation with the Enterra System: A Systematic Review. Gastroenterology Research and Practice No. 2015 (2015), pp.1-9.
https://search.emarefa.net/detail/BIM-1064114
American Medical Association (AMA)
Lal, Nikhil& Livemore, Sam& Dunne, Declan& Khan, Iftikhar. Gastric Electrical Stimulation with the Enterra System: A Systematic Review. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-9.
https://search.emarefa.net/detail/BIM-1064114
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064114