Suggest Treatment For Gastroparesis

Posted on Sun, 29 Jun 2014

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 29 Jun 2014 Answered on

Mon, 21 Jul 2014 Last reviewed on

Question : I have gastroparesis and have had 2 gastric stimulators/ pace makers that failed.so I had to go on a feeding tube. after I gained enough weigt the j-tube was removed but I suffer from severe pain in my stomach and can not eat. I don't want the j- tube back. so what do I do? I don't want to tell my doctor. food will not stay down..

Answered by Dr. M. Vamsi Krishna (16 hours later)

Brief Answer:
No need of j-tube

Detailed Answer:
Dear madam i can understand your concern.
I am very sorry for your condition
j-tube is not the ultimate solution and it s used in only very needy cases and its associated with postoperative morbidity and mortality.
most of uncontrolled diabetic patients will be having gastroparesis due to autonomic neuropathy they tend to respond better with pancreatic transplantation.
The latest trials following patients with diabetic gastroparesis are giving favorable results.
Surgical resection, involving partial gastrectomy and reconstruction should be seen as a last resort for severe refractory gastroparesis.
Instead i suggest you to speak with your doc in considering nasojejunal tube which is comparatively having better tolerability.
Regards
Dr XXXXXXX XXXXXXX
Diabetologist

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar