Treatment Options for Gastroparesis
Treatment options vary for gastroparesis ranging from nutrition, to medication, to surgery.
Treating gastroparesis begins with identifying and treating the underlying condition. Nutritional relief may be accomplished by changing your diet to small frequent meals consisting of low-fat foods, avoiding fibrous fruits and vegetables and carbonated drinks.
Medications may also be used to stimulate stomach muscles and antibiotics to reduce infections. The surgeons at the Medical Surgical Advance Group offer a surgical treatment option, including robotic surgery for patients who suffer from gastroparesis.
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Indications for Gastroparesis
Gastroparesis, which means partial paralysis of the stomach, is a disease in which your stomach cannot empty itself of food in a normal way. Gastroparesis is a condition that affects the normal spontaneous movement of the muscles (motility) in your stomach. It's not always clear what leads to gastroparesis, but in some cases it can be caused by damage to a nerve that controls the stomach muscles (vagus nerve). Contributing factors causing gastroparesis have been Diabetes Mellitus, which damages nerves that regulate your digestive tract and stomach. Other factors include hypothyroidism, gastroenteritis, Parkinson’s disease and Multiple Sclerosis.
Surgical Options for Gastroparesis
Several surgical options exist for the management of gastroparesis. If the condition is related to an injury of the vagus nerve, patients may benefit from a procedure called robotic pyloroplasty. This procedure widens and relaxes the valve separating the stomach from the upper part of the small intestine, called the pyloric valve. This permits the stomach to empty more quickly.
One type of surgery for gastroparesis is the robotin implantation of gastric electrical stimulation electrodes, which is a treatment that sends mild electric shocks to stimulate your stomach muscles. Robotic surgical resection options include sleeve gastrectomy and subtotal or total gastrectomy.