Laparoscopic implantation of gastric stimulator

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
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Author: Saleem Islam
Published:
Specialties: Pediatric Surgery
Schools: University of Florida
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Basic Info

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.

Advanced

Procedure

Laparoscopic implantation of a gastric electrical stimulator

Indications

Severe gastroparesis and functional dyspepsia

Contraindications

Failure of a temporary stimulation trial at relief of symptoms

Instrumentation

Setup

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

Preoperative Workup

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

Anatomy and Landmarks

In adults, implant leads 1 cm apart about 10-12 cm proximal to pylorus.

Advantages/Disadvantages

Helps significantly in patients with severe gastroparesis and nausea, emesis and pain.

Complications/Risks

Failure of the device in relief of symptoms. gastric perforation.

Disclosure of Conflicts

None

Acknowledgements

None

References

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.

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