TY - JOUR
T1 - Long-term outcomes of gastric electrical stimulation in children with gastroparesis
AU - Islam, Saleem
AU - McLaughlin, Jillian
AU - Pierson, Justine
AU - Jolley, Christopher
AU - Kedar, Archana
AU - Abell, Thomas
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/1/1
Y1 - 2016/1/1
N2 - Background Gastric electrical stimulation (GES) has been used in adults with gastroparesis. However its use has been limited in children. We describe the largest experience with GES in children with long-term outcomes. Methods Data were collected on children who underwent GES over a 10-year period. Data regarding demographics, medical history, hospital course, and outcomes were collected and analyzed. Symptom scores (validated Likert scores) were compared using a paired Student's t test. Results Overall, 97 patients underwent GES, and a majority were teenage Caucasian girls. Ninety-six had temporary GES (tGES), and 66 had improvement in their symptoms. A total of 67 underwent permanent implantation (pGES), and there was significant reduction in all individual symptoms (p < 0.001) as well as the total symptom score (TSS) (p < 0.0001) at 1, 6, 12, and > 12 months. Recurrence of symptoms leading to device removal occurred in 7 cases. Forty-one patients had continued improvement in symptoms for over 12 months, with a mean follow-up of 3.5 years (range 1-9 years). Conclusions This study represents the largest experience of systematic application of GES in children. GES is a safe and effective therapy for selected children with intractable GP with continued symptomatic improvement at 1 year and beyond.
AB - Background Gastric electrical stimulation (GES) has been used in adults with gastroparesis. However its use has been limited in children. We describe the largest experience with GES in children with long-term outcomes. Methods Data were collected on children who underwent GES over a 10-year period. Data regarding demographics, medical history, hospital course, and outcomes were collected and analyzed. Symptom scores (validated Likert scores) were compared using a paired Student's t test. Results Overall, 97 patients underwent GES, and a majority were teenage Caucasian girls. Ninety-six had temporary GES (tGES), and 66 had improvement in their symptoms. A total of 67 underwent permanent implantation (pGES), and there was significant reduction in all individual symptoms (p < 0.001) as well as the total symptom score (TSS) (p < 0.0001) at 1, 6, 12, and > 12 months. Recurrence of symptoms leading to device removal occurred in 7 cases. Forty-one patients had continued improvement in symptoms for over 12 months, with a mean follow-up of 3.5 years (range 1-9 years). Conclusions This study represents the largest experience of systematic application of GES in children. GES is a safe and effective therapy for selected children with intractable GP with continued symptomatic improvement at 1 year and beyond.
KW - Functional dyspepsia
KW - Gastric electrical stimulation
KW - Gastroparesis
KW - Nausea
UR - http://www.scopus.com/inward/record.url?scp=84952936657&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2015.10.015
DO - 10.1016/j.jpedsurg.2015.10.015
M3 - Article
C2 - 26526207
AN - SCOPUS:84952936657
SN - 0022-3468
VL - 51
SP - 67
EP - 71
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
IS - 1
ER -