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Efficacy of Gastric...
Efficacy of Gastric Electrical Stimulation for Gastroparesis: US/European Comparison
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Burlen, J. (author)
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Runnels, M. (author)
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Mehta, M. (author)
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- Andersson, Stina, 1977 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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Ducrotte, P. (author)
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- Gourcerol, G. (author)
- Karolinska Institutet
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Lindberg, G. (author)
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Fullarton, G. (author)
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- Abrahamsson, Hasse, 1943 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin,Institute of Medicine
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Al-Juburi, A. (author)
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Lahr, C. (author)
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Rashed, H. (author)
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Abell, T. (author)
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(creator_code:org_t)
- Elmer Press, Inc. 2018
- 2018
- English.
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In: Gastroenterology Research. - : Elmer Press, Inc.. - 1918-2805 .- 1918-2813. ; 11:5, s. 349-354
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https://www.gastrore...
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https://gup.ub.gu.se...
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https://doi.org/10.1...
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Abstract
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- Background: Gastric electrical stimulation (GES) is used in both the US and Europe, but little research has investigated the demographics of gastroparesis patients receiving GES by geographic location. Methods: We compared data from 380 patients, 296 female and 84 males, mean age 42 years, 246 idiopathic (ID), 107 diabetic (DM), and 27 post-surgical (PS). The statistical significance was calculated by Chi-square test and a P-value obtained for ID, DM, and PS. The statistical significance was calculated by Fischer exact test and a P-value obtained comparing male vs. female. Results: European centers had 61 GES patients compared to 319 from the US. In Europe, 100% of patients had gastric emptying test (GET) values available; in the US, it was 75% of patients. European centers had more DM patients (59%) than the US (22%), and a smaller proportion of ID patients (25%) than the US (72%). There was a statistical difference between the causes of gastroparesis in the patients receiving GES (P-value < 0.00001). There was also significant difference in the gender of the patients receiving GES, with a greater proportion of women in the US (P value = 0.0023). Conclusions: Comparing GES in US vs. Europe demonstrated significant differences in gastroparesis demographics and percentage of patients with GET data. After analyzing the previously discussed results and reviewing recent updates in evidence-based medicine guidelines, the discrepancy and variance in patient populations in the US and Europe emphasizes the need for a database that allows better analysis and treatment of gastroparesis patients worldwide including stimulation therapies.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Keyword
- Gastroparesis
- Nausea and vomiting
- Gastric electrical stimulation
- Diabetes
- Health delivery
- therapy improves symptoms
- endoscopic pyloromyotomy
- refractory
- gastroparesis
- idiopathic gastroparesis
- diabetic gastroparesis
- predictors
- diagnosis
- trial
- Gastroenterology & Hepatology
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Burlen, J.
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Runnels, M.
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Mehta, M.
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Andersson, Stina ...
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Ducrotte, P.
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Gourcerol, G.
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show more...
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Lindberg, G.
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Fullarton, G.
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Abrahamsson, Has ...
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Al-Juburi, A.
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Lahr, C.
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Rashed, H.
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Abell, T.
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
- Articles in the publication
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Gastroenterology ...
- By the university
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University of Gothenburg
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Karolinska Institutet