scholarly journals Gastric Electrical Stimulation Is an Effective Treatment Modality for Refractory Gastroparesis in a Postsurgical Patient with Pancreatic Cancer

2019 ◽  
Vol 13 (3) ◽  
pp. 430-437
Author(s):  
Shreyans Doshi ◽  
Aniruddh Patel ◽  
Abigail Stocker ◽  
Charles Scoggins ◽  
Laila Agrawal ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Electrical Stimulation ◽  
Effective Treatment ◽  
Gastric Electrical Stimulation ◽  
Effective Treatment Option ◽  
Effective Treatment Modality ◽  
Common Causes ◽  
Significant Impairment ◽  
Refractory Malignancy

Gastroparesis-related hospital visits contribute significantly to healthcare costs. Gastroparesis can lead to chronic symptoms, such as nausea, vomiting, bloating, early satiety, and abdominal pain. It can result in a significant impairment of quality of life. Diabetes and postsurgery are common causes for gastroparesis, but most cases of gastroparesis are idiopathic in presumed etiology. Malignancy-related gastroparesis has also recently been described in the literature, and pancreatic cancer is a malignancy commonly associated with gastroparesis. Whipple surgery for pancreatic cancer is often complicated by gastroparesis during its postoperative course. We report a case where gastric electrical stimulation was an effective treatment option in the treatment of refractory malignancy-related gastroparesis.

Improvement of quality of life and symptoms after gastric electrical stimulation in children with functional dyspepsia

2013 ◽  
Vol 25 (7) ◽  
pp. 567-e456 ◽  
Author(s):  
P. L. Lu ◽  
S. Teich ◽  
C. D. Lorenzo ◽  
B. Skaggs ◽  
M. Alhajj ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Electrical Stimulation ◽  
Functional Dyspepsia ◽  
Gastric Electrical Stimulation

scholarly journals Role of Gastric Electrical Stimulation in the Treatment of Gastroparesis

2020 ◽  
Vol 2 (1) ◽  
pp. 12-26 ◽  
Author(s):  
Amal Shine ◽  
Thomas L. Abell
Keyword(s):  
Quality Of Life ◽  
Electrical Stimulation ◽  
Symptom Control ◽  
Gastrointestinal Symptoms ◽  
Gastric Electrical Stimulation ◽  
Cochrane Library ◽  
Health Related ◽  
History Of ◽  
Future Work

Introduction: Gastric electrical stimulation (GES) is a surgically implanted treatment option for drug refractory gastroparesis syndromes. Evidence supporting use of GES and the pathophysiology of gastroparesis syndromes is not widely known. We conducted a descriptive review to elucidate the pathophysiology of gastroparesis syndromes, with particular focus on gastrointestinal neuromodulation and the known mechanisms of action of GES. Methods: A descriptive review of PubMed, Web of Science and Cochrane Library was conducted using the keywords gastric electrical stimulation, gastroparesis, nausea, vomiting, neuromodulation, gastroparesis syndromes, central nervous system, gastric pacing and electrical stimulation. Results: 1040 potentially relevant articles were identified, of which 34 were included. These studies explored various central and peripheral effects of GES, as well as its effect on quality of life, hospital stay, mortality and health-related costs. Conclusion: Although evidence supporting gastrointestinal (GI) electrical stimulation and GI neuromodulation use is not widely known, GES does seem to offer significant improvement in symptom control, quality of life and other effects to many patients. GES exerts its effects through multiple central and peripheral mechanisms and has potential to modify the natural history of disease. Future work on gastroparetic syndromes and their treatment might be better focused in terms of pathophysiologic mechanisms. Improving outcomes with specific neuromodulation therapies, like GES, may offer improvements in health for many patients with refractory upper gastrointestinal symptoms.

scholarly journals Cognitive Fatigue in Multiple Sclerosis: An Objective Approach to Diagnosis and Treatment by Transcranial Electrical Stimulation

2019 ◽  
Vol 9 (5) ◽  
pp. 100 ◽  
Author(s):  
Linnhoff ◽  
Fiene ◽  
Heinze ◽  
Zaehle
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Therapeutic Potential ◽  
Transcranial Electrical Stimulation ◽  
Special Focus ◽  
Cognitive Fatigue ◽  
Significant Impairment ◽  
The Individual

Cognitive fatigue is one of the most frequent symptoms in multiple sclerosis (MS), associated with significant impairment in daily functioning and quality of life. Despite its clinical significance, progress in understanding and treating fatigue is still limited. This limitation is already caused by an inconsistent and heterogeneous terminology and assessment of fatigue. In this review, we integrate previous literature on fatigue and propose a unified schema aiming to clarify the fatigue taxonomy. With special focus on cognitive fatigue, we survey the significance of objective behavioral and electrophysiological fatigue parameters and discuss the controversial literature on the relationship between subjective and objective fatigue assessment. As MS-related cognitive fatigue drastically affects quality of life, the development of efficient therapeutic approaches for overcoming cognitive fatigue is of high clinical relevance. In this regard, the reliable and valid assessment of the individual fatigue level by objective parameters is essential for systematic treatment evaluation and optimization. Transcranial electrical stimulation (tES) may offer a unique opportunity to manipulate maladaptive neural activity underlying MS fatigue. Therefore, we discuss evidence for the therapeutic potential of tES on cognitive fatigue in people with MS.

Nerve Blocks and Neurostimulation in the Treatment of Migraine

2017 ◽  
Author(s):  
Matthew S Robbins
Keyword(s):  
Effective Treatment ◽  
Chronic Migraine ◽  
Nerve Stimulation ◽  
Preventive Treatment ◽  
Single Pulse ◽  
Treatment Modalities ◽  
Sphenopalatine Ganglion ◽  
Effective Treatment Option ◽  
Nerve Blocks ◽  
Effective Treatment Modality

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, although, despite a wealth of anecdotal experience, the evidence is conflicting for efficacy in chronic migraine prophylaxis. Neurostimulation has emerged as an effective treatment modality for migraine with both noninvasive and minimally invasive options available. Such options include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura. Although occipital nerve stimulation may be effective for some patients with intractable chronic migraine, the evidence is mixed and procedure-related complications are common. Emerging treatment modalities for acute and preventive treatment of migraine include noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation. This review contains 5 highly rendered figures, 2 tables, and 106 references.

Nerve Blocks and Neurostimulation in the Treatment of Migraine

2016 ◽  
Author(s):  
Matthew S Robbins
Keyword(s):  
Effective Treatment ◽  
Chronic Migraine ◽  
Nerve Stimulation ◽  
Preventive Treatment ◽  
Single Pulse ◽  
Treatment Modalities ◽  
Sphenopalatine Ganglion ◽  
Effective Treatment Option ◽  
Nerve Blocks ◽  
Effective Treatment Modality

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, although, despite a wealth of anecdotal experience, the evidence is conflicting for efficacy in chronic migraine prophylaxis. Neurostimulation has emerged as an effective treatment modality for migraine with both noninvasive and minimally invasive options available. Such options include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura. Although occipital nerve stimulation may be effective for some patients with intractable chronic migraine, the evidence is mixed and procedure-related complications are common. Emerging treatment modalities for acute and preventive treatment of migraine include noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation. This review contains 5 highly rendered figures, 2 tables, and 106 references.

Nerve Blocks and Neurostimulation in the Treatment of Migraine

2016 ◽  
Author(s):  
Matthew S Robbins
Keyword(s):  
Effective Treatment ◽  
Chronic Migraine ◽  
Nerve Stimulation ◽  
Preventive Treatment ◽  
Single Pulse ◽  
Treatment Modalities ◽  
Sphenopalatine Ganglion ◽  
Effective Treatment Option ◽  
Nerve Blocks ◽  
Effective Treatment Modality

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, although, despite a wealth of anecdotal experience, the evidence is conflicting for efficacy in chronic migraine prophylaxis. Neurostimulation has emerged as an effective treatment modality for migraine with both noninvasive and minimally invasive options available. Such options include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura. Although occipital nerve stimulation may be effective for some patients with intractable chronic migraine, the evidence is mixed and procedure-related complications are common. Emerging treatment modalities for acute and preventive treatment of migraine include noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation. This review contains 5 highly rendered figures, 2 tables, and 106 references.

Functional Electrical Stimulation for Foot Drop in Multiple Sclerosis

US Neurology ◽  
2015 ◽  
Vol 11 (01) ◽  
pp. 10 ◽  
Author(s):  
Geraldine P Dapul ◽  
Francois Bethoux ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Electrical Stimulation ◽  
Effective Treatment ◽  
Functional Electrical Stimulation ◽  
Treatment Strategy ◽  
Foot Drop ◽  
Walking Ability ◽  
Gait Performance

Functional electrical stimulation is an effective treatment strategy for the management of foot drop in various neurologic conditions, as demonstrated in improvements in gait performance, mobility, physiologic cost, perceived walking ability, balance, fall frequency, and quality of life. In this article, we review the current literature on the effects of functional electrical stimulation for foot drop in persons with multiple sclerosis.

1085 Improvement of Quality of Life and Symptoms After Gastric Electrical Stimulation in Children With Gastroparesis and Functional Dyspepsia

2012 ◽  
Vol 142 (5) ◽  
pp. S-194-S-195
Author(s):  
Peter L. Lu ◽  
Steven Teich ◽  
Carlo Di Lorenzo ◽  
Jaya Punati ◽  
Beth Skaggs ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Electrical Stimulation ◽  
Functional Dyspepsia ◽  
Gastric Electrical Stimulation

Mo1306 Gastric Electrical Stimulation Improves Symptoms and Quality of Life At Up to 12 Years Follow-Up in Refractory Gastroparesis

2014 ◽  
Vol 146 (5) ◽  
pp. S-614-S-615
Author(s):  
Alan Askari ◽  
Stefan S. Antonowicz ◽  
Jennifer Barras ◽  
Cheuk-Bong Tang ◽  
Michael Harvey ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Electrical Stimulation ◽  
Gastric Electrical Stimulation
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