NICE guidance on gastroelectrical stimulation for gastroparesis

Abstract

Patients with severe diabetic gastroparesis with intractable bouts of nausea and vomiting are often refractory to drug therapy and have poor quality of life with malnutrition, weight loss, poor glycaemic control and frequent hospital admissions. Such patients may benefit from gastroelectrical stimulation (GES). The NICE guidance on GES for gastroparesis in 2004 did not support its use but since then a considerable amount of new evidence has become available and NICE updated the guidance in May 2014.