Surgical outcomes after gastric electric stimulator placement for refractory gastroparesis.

Background: Gastric electric stimulation (GES) is used for refractory gastroparesis symptoms. Although symptomatic improvement has been reported with GES, few studies describe the need for additional surgery after placement. Our goal was to evaluate the outcomes of a large series of GES at a single institution.

Intussusception after laparoscopic gastric bypass surgery: an underrecognized complication.

Introduction. Intussusception after bariatric surgery is an uncommon complication that is now being frequently reported. Most people consider dysmotility to be the causative mechanism in the absence of obvious etiology.

Predictive factors for clinical improvement with Enterra gastric electric stimulation treatment for refractory gastroparesis.

Unlabelled: The objectives of this study were to determine the clinical response to Enterra gastric electric stimulation (GES) in patients with refractory gastroparesis and to determine factors associated with a favorable response.

Methods: This study was conducted in patients undergoing Enterra GES for refractory gastroparesis. Symptoms were scored before and after GES implantation using the Gastroparesis Cardinal Symptom Index (GCSI) with additional questions about abdominal pain and global clinical response.

Laparoscopic esophagomyotomy for achalasia: does anterior hemifundoplication affect clinical outcome?

Objective: To determine whether the addition of anterior hemifundoplication to laparoscopic esophagomyotomy for achalasia yields better clinical outcomes than laparoscopic esophagomyotomy alone.

Summary Background Data: Although hemifundoplication may prevent gastroesophageal reflux after esophagomyotomy for achalasia, it may also lead to persistent dysphagia in these patients with esophageal aperistalsis.

Methods: This is a retrospective study of 51 consecutive patients (mean age 47.