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Maintenance of a Gastric Pacemaker in the Excluded Stomach During a Roux-en-Y Gastric Bypass Procedure in a Patient with Obesity, Type 1 Diabetes and Refractory Gastroparesis

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References

  1. Camilleri M. Diabetic Gastroparesis. N Engl J Med. 2007;356(8):820–9. https://doi.org/10.1056/NEJMcp062614.

    Article  CAS  PubMed  Google Scholar 

  2. Parkman HP, Hasler WL, Fisher RS. American Gastroenterological Association medical position statement: diagnosis and treatment of gastroparesis. Gastroenterology. 2004;127(5):1589–91. https://doi.org/10.1053/j.gastro.2004.09.054.

    Article  PubMed  Google Scholar 

  3. Ye Y, Jiang B, Manne S, Moses PL, Almansa C, Bennett D, Dolin P, Ford AC. Epidemiology and outcomes of gastroparesis, as documented in general practice records, in the United Kingdom. Gut. 2020. https://doi.org/10.1136/gutjnl-2020-321277.

    Article  PubMed  Google Scholar 

  4. Boaz M, Kislov J, Dickman R, Wainstein J. Obesity and symptoms suggestive of gastroparesis in patients with type 2 diabetes and neuropathy. J Diabetes Complications. 2011;25(5):325–8. https://doi.org/10.1016/j.jdiacomp.2011.06.005.

    Article  PubMed  Google Scholar 

  5. Papasavas PK, Ng JS, Stone AM, Ajayi OA, Muddasani KP, Tishler DS. Gastric bypass surgery as treatment of recalcitrant gastroparesis. Surg Obes Relat Dis. 2014;10(5):795–9. https://doi.org/10.1016/j.soard.2014.01.013.

    Article  PubMed  Google Scholar 

  6. Zehetner J, Ravari F, Ayazi S, Skibba A, Darehzereshki A, Pelipad D, Mason RJ, Katkhouda N, Lipham JC. Minimally invasive surgical approach for the treatment of gastroparesis. Surg Endosc. 2013;27(1):61–6. https://doi.org/10.1007/s00464-012-2407-0.

    Article  PubMed  Google Scholar 

  7. Landreneau JP, Strong AT, El-Hayek K, Kroh MD, Rodriguez JH. Gastrectomy versus stomach left in situ with Roux-en-Y reconstruction for the treatment of gastroparesis. Surg Endosc. 2020;34(4):1847–55. https://doi.org/10.1007/s00464-019-06951-3.

    Article  PubMed  Google Scholar 

  8. Sun Z, Rodriguez J, McMichael J, Chand B, Nash D, Brethauer S, Schauer P, El-Hayek K, Kroh M. Surgical treatment of medically refractory gastroparesis in the morbidly obese. Surg Endosc. 2015;29(9):2683–9. https://doi.org/10.1007/s00464-014-3990-z.

    Article  PubMed  Google Scholar 

  9. Wakamatsu K, Perez Quirante F, Montorfano L, Lo Menzo E, Seto Y, Rosenthal RJ. Laparoscopic treatment of gastroparesis: a single center experience. Surg Obes Relat Dis. 2018;14(2):200–5. https://doi.org/10.1016/j.soard.2017.07.029.

    Article  PubMed  Google Scholar 

  10. Salameh JR, Schmieg RE Jr, Runnels JM, Abell TL. Refractory gastroparesis after Roux-en-Y gastric bypass: surgical treatment with implantable pacemaker. J Gastrointest Surg. 2007;11(12):1669–72. https://doi.org/10.1007/s11605-007-0331-8.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Centre Hospitalier Universitaire Ambroise Paré, Service d’Endocrinologie Diabétologie et Nutrition, Assistance Publique-Hôpitaux de Paris, 9 avenue Charles De Gaulle, 92100, Boulogne Billancourt, France

    Mirella Hage, Marie-Laure Raffin-Sanson & Marion Bretault

  2. Hôpital Lariboisière, Service d’Endocrinologie et de Diabétologie, Assistance Publique-Hôpitaux de Paris, 75010, Paris, France

    Clara Bouche

  3. Hôpital Louis Mourier, Service d’Hépato-Gastroentérologie, Assistance Publique-Hôpitaux de Paris, 92700, Colombes, France

    Benoit Coffin

  4. Hôpital Saint Louis, Service de Néphrologie et de Transplantation, Assistance Publique-Hôpitaux de Paris, 75010, Paris, France

    Evangeline Pillebout

  5. Centre Hospitalier Universitaire Ambroise Paré, Service de Chirurgie Digestive, Oncologique et Métabolique, 92100, Boulogne Billancourt, France

    Jean-Luc Bouillot

  6. EA4340, Université de Versailles Saint-Quentin-en-Yvelines, UFR des Sciences de La Santé Simone Veil, 78423, Montigny-le-Bretonneux, France

    Marie-Laure Raffin-Sanson

Authors
  1. Mirella Hage
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  2. Clara Bouche
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  3. Benoit Coffin
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  4. Evangeline Pillebout
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  5. Jean-Luc Bouillot
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  6. Marie-Laure Raffin-Sanson
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  7. Marion Bretault
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Corresponding author

Correspondence to Mirella Hage.

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Ethical Approval

The patient gave informed consent to the anonymous publication of her medical data. Study registration number: 2021-A01441-40.

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The authors declare no competing interests.

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Key Points

• Gastroparesis may be refractory to treatment including gastric electrical stimulation in patients with diabetes mellitus type 1 and obesity

• Compared to gastrectomy as a treatment for refractory gastroparesis, Roux-Y reconstruction with stomach left in situ (similar to gastric bypass) is a less extensive surgery and requires less operative time

• Roux-en-Y gastric bypass with maintenance of the gastric pacemaker in the remnant stomach is a feasible and safe procedure

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Hage, M., Bouche, C., Coffin, B. et al. Maintenance of a Gastric Pacemaker in the Excluded Stomach During a Roux-en-Y Gastric Bypass Procedure in a Patient with Obesity, Type 1 Diabetes and Refractory Gastroparesis. OBES SURG 31, 5497–5499 (2021). https://doi.org/10.1007/s11695-021-05726-x

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  • DOI: https://doi.org/10.1007/s11695-021-05726-x

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