Gastric Electrical Stimulation
Please see our resources section for more information about gastroparesis.
Enterra (Gastric Electrical Stimulation) was approved by the FDA in 2000 as a Humanitarian Device Exemption for the treatment of patients with chronic, intractable nausea and vomiting secondary to gastroparesis from diabetes or idiopathic (unknown) causes. It involves administering high frequency-low energy stimulation to the natural pacemaker in the greater curvature of the stomach by two electrodes that are placed with the laparoscopic or open technique.
At Connecticut GI, we first attempt to treat patients with gastroparesis with dietary changes and medical therapy. However, if these treatments do not work, we will discuss with patients whether to pursue gastric electrical stimulation.
Patients who meet these criteria are candidates for this therapy:
At Connecticut GI, we work in close collaboration with bariatric surgeons who place the device surgically. We also can place a temporary stimulator into the stomach during an upper endoscopy to see if electrical stimulation helps before surgical implantation of the device.
This procedure enables the physician to visualize your esophagus, stomach, and duodenum. The examination is performed with a thin, flexible instrument and allows your physician to observe for any abnormalities and to take biopsies if required.
Preparation prior to temporary gastric stimulator:
YOU WILL NOT BE PERMITTED TO DRIVE THE ENTIRE DAY OF THE UPPER ENDOSCOPY. Make sure you arrange for transportation home.
You may resume normal activities the day after your procedure; however, please try to avoid getting the electrical stimulator wet.
Many insurance companies have co-pays and/or deductibles for outpatient procedures. Please check with your insurance company to see what your out-of-pocket expenses