Sibartie V, Quigley E M M, O'Donnell A, O'Halloran D, Thompson C
Alimentary Pharmabiotic Centre, Department of Medicine, Cork University Hospital, Wilton.
Ir Med J. 2005 Nov-Dec;98(10):245-6.
Gastroparesis refractory to prokinetic agents poses a major challenge to the physician and patient, alike. In the past 5 years, electrical methods to treat gastroparesis have emerged from animal and human experiments to a potentially valuable tool in clinical gastroenterology. One of these methods, known as gastric electrical stimulation (GES), is being increasingly used in specialized centres worldwide, but had never been tried in Ireland. We describe here our experience with the first two implantations of gastric neurostimulators performed in Ireland and the outcome with these 2 patients. Our results at 6 months show reduction in symptoms and improvement in quality of life, which is encouraging and should prompt further evaluation of GES for patients with gastroparesis refractory to medical therapy.
对促动力药物难治的胃轻瘫给医生和患者都带来了重大挑战。在过去5年中,治疗胃轻瘫的电疗法已从动物和人体实验发展成为临床胃肠病学中一种潜在有价值的工具。其中一种方法,即胃电刺激(GES),在全球各专业中心的使用越来越多,但在爱尔兰从未尝试过。我们在此描述我们在爱尔兰进行的首例两例胃神经刺激器植入手术的经验以及这两名患者的治疗结果。我们6个月时的结果显示症状减轻,生活质量改善,这令人鼓舞,应促使对药物治疗难治的胃轻瘫患者进一步评估胃电刺激疗法。