Digestive Disorders / Gastroenterology Expert Forum
Slow Stomach or Gastricpararesus Syndrome
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Slow Stomach or Gastricpararesus Syndrome

My Son-In-Law has been diagnosed with slow stomach snydrome.  He has had all tests including a scope, egg sandwich test, and has had his gall-bladder removed. He is 21 years old and was in prime health with the exception of a few extra pounds.The surgeon said the gall-bladder looked normal after the surgery, the technician thought it looked slightly enlarges before his surgery.)His stomach has an abundance of acid and moves very slowly. When he goes into his 'stomach crisis' period, he can't even keep water on his stomach.  He can't take the Nexium that has been prescribed by his specialist, the suppositories don't seem to help, let along the diet that he is supposed to follow. He throws up everything like a power volcano. He was diagnosed in March 2004 after he went camping, started throwing up and couldn't stop and had to be brought home.  In the 10 months that he has had this 'syndrome', he has lost 93 lbs. and need I say that he looks like a skeleton. He also has been fired from several jobs, because when he gets sick, he has to stay in bed for weeks at a time. He was referred to a specialist after his primary physician couldn't do anything for him. The specialist has prescribed more medication and the same rigid 'no fat, no oils, no raw fruits or vegetables, diet' and has suggested his only option is the 'stomach pacemaker' to do whatever it is supposed to do.  We were told that the pacemaker is a new procedure and I would like to know about this snydrome in detail as far as why and how does it come on so quickly and 'out of the blue' and the benefits of the pacemaker and any other options or suggestions that might be available. Thank you.
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There are generally two types of electrical stimulation for refractory gastroparesis - gastic pacing and gastric neurostimlation.  

The data regarding these devices are still in the investigational stage.  Typically, only the most severe, refractory cases should be considered.  This would include aggressive medications to treat nausea and the symptoms should last over one year.  

Nausea and vomiting should be the predominant symptoms.  The device has not been shown to reduce symptoms like pain, bloating, fullness or acid reflux symptoms.  

These options are typically considered in major academic medical center and you may want to consider a referral if these options are feasible.  

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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