Endoscopic treatment of gastroparesis  

作　　者：Thomas R McCarty Tarun Rustagi 

机构地区：[1]Department of Internal Medicine, Yale University School of Medicine [2]Section of Digestive Diseases, Department of Internal Medicine, Yale University School of Medicine

出　　处：《World Journal of Gastroenterology》2015年第22期6842-6849,共8页世界胃肠病学杂志（英文版）

摘　　要：Gastroparesis has traditionally been a largely medically managed disease with refractory symptoms typically falling under the umbrella of the surgical domain.Surgical options include, but are not limited to, gastrostomy,jejunostomy, pyloromyotomy, or pyloroplasty,and the Food and Drug Administration approvedgastric electrical stimulation implantation. Endoscopic management of gastroparesis most commonly involves intrapyloric botulinum toxin injection; however, there exists a variety of endoscopic approaches on the horizon that have the potential to radically shift standard of care.Endoscopic management of gastroparesis seeks to treat delayed gastric emptying with a less invasive approach compared to the surgical approach. This review will serve to highlight such innovative and potentially transformative, endoscopic interventions available to gastroenterologists in the management of gastroparesis.Gastroparesis has traditionally been a largely medically managed disease with refractory symptoms typically falling under the umbrella of the surgical domain.Surgical options include, but are not limited to, gastrostomy,jejunostomy, pyloromyotomy, or pyloroplasty,and the Food and Drug Administration approvedgastric electrical stimulation implantation. Endoscopic management of gastroparesis most commonly involves intrapyloric botulinum toxin injection; however, there exists a variety of endoscopic approaches on the horizon that have the potential to radically shift standard of care.Endoscopic management of gastroparesis seeks to treat delayed gastric emptying with a less invasive approach compared to the surgical approach. This review will serve to highlight such innovative and potentially transformative, endoscopic interventions available to gastroenterologists in the management of gastroparesis.

关 键 词：BOTULINUM GASTROJEJUNOSTOMY Transpyloric PYLOROMYOTOMY GASTRIC stimulator GASTRIC pacemaker STENTING 

分 类 号：R573[医药卫生—消化系统]