Gastroparesis surgery

Gastroparesis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Surgery

Surgical treatment is rarely indicated for the treatment of gastroparesis, however it can be useful in patients with persistent symptoms despite medical management.

Surgical techniques

Following surgical options are available:

• Placement of an entrostomy tube
• Surgical pyloroplasty
• Subtotal gastrectomy

Jejunostomy

If a liquid or pureed diet does not work, you may need surgery to insert a feeding tube. The tube, called a jejunostomy, is inserted through the skin on your abdomen into the small intestine. The feeding tube bypasses the stomach and places nutrients and medication directly into the small intestine. These products are then digested and delivered to your bloodstream quickly. You will receive special liquid food to use with the tube. The jejunostomy is used only when gastroparesis is severe or the tube is necessary to stabilize blood glucose levels in people with diabetes.