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Gastroelectrical stimulation for gastroparesis

 
Guidance issued
 
Number: IPG103

Summary

The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on gastroelectrical stimulation for gastroparesis.

Description

Gastroelectrical stimulation is an option for the treatment of patients with chronic, intractable (drug-refractory) nausea and vomiting secondary to gastroparesis. Other options include the palliative procedures of jejunostomy tube for feeding, gastrostomy tube for stomach decompression, and pyloroplasty to improve or facilitate gastric emptying.

Electrical stimulation is delivered via an implanted system that consists of a neurostimulator and two leads. Under general anaesthetic, the stimulating electrode of each intramuscular lead is fixed to the muscle of the lower stomach. The connector end of each lead is then attached to the neurostimulator, which is placed in a small pocket in the abdominal wall via a surgical incision. When the neurostimulator is turned on, electrical impulses are delivered. A programmer can adjust the rate and amplitude of stimulation.

OPCS code:

Details

Arrangement:
Special
Topic area:
Digestive system
Surgical procedures
Specialty:
Gastroenterology
Specialist advice has been sought from:
Date notified to NICE:
01 August 2003
Provisional consultation date:
July 2004
Guidance issue date:
15 December 2004

Contact details:

Project manager (for general enquiries or comments)
(for general enquiries or comments)
Ben Doak
Technical lead
(for procedure specific enquiries or comments)
Sally Wortley
ip@nice.org.uk
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links: