[Update on Gastric Pacemaking: Relevance for Gastroparesis].

IF 0.7 4区 医学 Q4 SURGERY
Zentralblatt fur Chirurgie Pub Date : 2025-08-01 Epub Date: 2025-08-08 DOI:10.1055/a-2636-2851
Johannes Riebeling, Robert Patejdl, David Zipf, Lena-Christin Conradi, Michael Ghadimi, Felix Gundling, Tobias Bruegmann
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引用次数: 0

Abstract

Gastroparesis is a disease in which gastric emptying is significantly decreased in the absence of a mechanical obstruction of the gastric outlet. In addition to conservative or pharmacological treatment options, gastric electrical stimulation (GES) is a possible alternative therapy for refractory courses of the disease. However, the available data from randomised controlled trials on efficacy do not permit an unqualified recommendation. The aim of this review is to introduce the clinical picture of gastroparesis, including the underlying pathophysiology, and to classify the therapeutic role of GES, based on the currently available literature. In particular, indications and limitations of the therapy are outlined that may lead to optimisation of the therapy, followed by an outlook on a potential new therapeutic procedure.

[最新的胃起搏:与胃轻瘫的相关性]。
胃轻瘫是一种在没有胃出口机械阻塞的情况下胃排空明显减少的疾病。除了保守或药物治疗选择外,胃电刺激(GES)是难治性疾病的一种可能的替代疗法。然而,从有效性的随机对照试验中获得的可用数据不允许不合格的推荐。本综述的目的是介绍胃轻瘫的临床情况,包括潜在的病理生理,并根据目前的文献对GES的治疗作用进行分类。特别地,概述了可能导致治疗优化的适应症和治疗局限性,随后展望了潜在的新治疗程序。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.00
自引率
14.30%
发文量
116
审稿时长
6-12 weeks
期刊介绍: Konzentriertes Fachwissen aus Forschung und Praxis Das Zentralblatt für Chirurgie – alle Neuigkeiten aus der Allgemeinen, Viszeral-, Thorax- und Gefäßchirurgie.
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