Patient care pathway
Consider the patient care pathway and full patient selection criteria for your gastroparesis patients when recommending Enterra Therapy:
Care pathways are directed by the physician to reflect their current practice protocols.
Evaluation & Diagnosis
Medical History,
Physical Exam
Endoscopy
(no obstruction)
Gastric Emptying Test
(presence of delayed emptying)
First line therapies
Dietary Modifications
- Gastroparesis diet
- Glucose control
Pharmacologic Management
- Prokinetics
- Antiemetics
- Cessation of narcotics
Advanced Therapies
Gastric electrical
stimulation
Pyloric surgery
Other treatments
- feeding tubes
- gastrectomy
- and more
Patient selection criteria for gastric electrical stimulation
- Symptomatic gastroparesis ≥ 1 year
- Documented gastroparesis based on 4-hour solid-phase nuclear medicine emptying test
- 60% ≥ retention at 2 hours
- 10% ≥ retention at 4 hours
- Documented gastroparesis based on 4-hour solid-phase nuclear medicine emptying test
- Failed dietary modifications
- Refractory or intolerant antiemetic/prokinetic medications
- Viable surgical candidate
- Ages between 18-70 years