Re: Need a Good Motility gastro

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Questions in The Gastroenterology Forum are currently being answered by Pho M.D., who is board certified in Internal Medicine and is also affiliated with an academic medical center.

Subject: Re: gastro-pacemakerForum: The Gastroenterology and Liver Diseases Forum Topic Area: Gastroenterology - GeneralPosted by HFHSM.D.-ym on October 15, 1998 at 21:09:35:In Reply to: gastro-pacemaker posted by dave on October 09, 1998 at 18:59:03:

: Through a nuclear egg study I was found to have a "half-emptying time GT 200 minutes. None of the medications I tried in the past 8 years or so have worked.(reglan,propulsid,erythmycin etc.) My regular M,D. told me this week he heard there is noe a Gastrointestinal-Pacccemaker that can be surgically installed to send electric charges to stimulate stomach muscle contraction to relaive the gastroparesis slow emptying. Have you heard of this? Does it work?: Thank You,: dave Dear Dave, The pacemaker of the stomach is located in the body of the stomach and regulates the rhythm of the entire stomach (usually 3 cycles per minute). Recently, a technology called electrogastrography (EGG) has been developed. EGG can detect abnormal rhythms of gastric myoelectrical activity. These are classified as rapid (tachygastria), slow (bradygastria) or mixed (bradytachyarrhythmia).EGG does not directly measure contractile force or gastric emptying. A series of patterns have been seen in a number of patients with a variety of clinical disorders associated with gastric dysmotility. However, it is not always clear that these abnormal patterns are actually responsible for the symptoms experienced by the patients. Although gastric pacemakers are being developed, they are used mostly in research centers specializing in motility disorders. I hope you find this information helpful. This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health. If you want to be seen at our institution please call 1-, our Referring Physicians' Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology. HFHSM.D.-ym*Keywords: gastroparesis, gastric pacemaker, EGG

Need a Good Motility gastro

As you know I had some really unpleasant lower gastro testing done last week while at Cleveland Clinic. I thought the doc. I was seeing was top in the field and would be able to help me. Well after numerous phone calls to get the results from my tests he called personally late this afternoon with NO help at all. He spoke so non-chalantly about the whole thing. He said that my colonic transit study and manometry were abnormal and that my muscles just do not work. He said the key is just to get things as liquified as possible but that there isn't really anything to do about the prob except removing my colon and giving me an ileostomy. I just don't think that will solve the prob. I have dysmotility in my stomach and most likely my small bowel as well. Nothing is moving right now and I am distending and miserable. I need a gastro who is good with motility and can think out of the box and really try and help his/her patients. I know there has to be other options to try whether it be Propulsid, NT3 Injections, IV anti-cholinergic's, etc.

Please help! Thank you! Please contact mito-owner with any problems or questions.