Rene Aleman, MD, Maria C Fonseca, MD, Joel S Frieder, MD, Kandace Kichler, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic Florida
There is no consensus on the most effective surgical approach for gastroparesis (GP). The combination of implantable gastric stimulator and pyloroplasty has gained popularity, with reported promising safety and efficacy. We present the case of a 29-year-old male with a 5-year history of refractory gastroparesis and symptoms related to delayed gastric emptying. Due to previous unsuccessful J tube placements, the patient underwent concomitant per-oral pyloroplasty (POP) and laparoscopic gastric electric stimulator (GES) implantation. During the POP a duodenal perforation was noted and repaired laparoscopically. The patient made an uneventful recovery with improvement of his symptoms.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95394
Program Number: V063
Presentation Session: Exhibit Hall Theater Video Session II
Presentation Type: EHVideo