A new medical procedure provides a promising solution for South African diabetes patients who suffer from gastroparesis – a condition that can cause crippling nausea and vomiting on a daily basis.
Deficiencies and other concerns
Gastroparesis is a common complication of diabetes, both type 1 and type 2. It occurs when the muscles that control stomach action become partially paralysed.
Gastroparesis affects the rate at which nutrients move from the stomach to the intestines where they are absorbed into the bloodstream and distributed throughout the body.
As a result, patients do not properly absorb nutrients from their diet which can cause a number of deficiencies and related health concerns.
In a first for Johannesburg, a patient with type 1 diabetes was recently fitted with a new device that stimulates the stomach muscles, allowing for nutrients to pass through to the intestines at a normal rate.
The Enterra device was implanted during a surgical procedure performed by specialist gastroenterologist, Dr Ismail Moola, and general surgeon, Dr Barbaro Monzon at Netcare Sunninghill Hospital.
“The patient, a 47-year-old woman with type 1 diabetes mellitus, was suffering from extreme nausea and vomiting. As a result of being unable to keep her food down she was not getting sufficient nutrients from her diet. This severely compromised her health,” explains Dr Moola.
Reaping the benefits
“To add to her problems, the patient also has impaired kidney function, following a failed transplant some years ago, and has to have regular renal dialysis.”
The two doctors report that the patient is already reaping the benefits.
“Before the surgery, the patient had lost a lot of weight because of persistent nausea and vomiting. With the Enterra gastric implant, however, her body’s ability to absorb nutrients from food is improving by leaps and bounds and this is likely to optimise her overall health and wellbeing. Furthermore, the reduction in these symptoms represents a real improvement to her quality of life,” Dr Moola observes.
“The result is that the patient can absorb nutrients when eating normally, with most patients experiencing a vast reduction in nausea and vomiting. The patient who received the Enterra implant that was performed at Netcare Sunninghill Hospital affirmed that she has experienced a drastic improvement in her symptoms.”
The new Enterra device offers patients a much less intrusive solution than previous surgical options. In the past, gastroparesis patients would be fitted with feeding tubes connected directly to the intestines or a gastric pacemaker.
Know the symptoms of gastroparesis
Gastroparesis is most common in people with diabetes but can also affect those with connective tissue disorders, Parkinson’s disease, chronic intestinal pseudo obstruction and certain psychological disorders.
“The symptoms of gastroparesis include nausea, vomiting, bloating and gastric distention. In severe cases it leads to dehydration, nutritional failure and poor glycaemic control,” explains Dr Moola.
Source: Netcare Sunninghill Hospital (07/03/2016)