Gastroelectrical stimulation for gastroparesis

Summary

The National Institute for Health and Clinical Excellence (NICE) issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on gastroelectrical stimulation for gastroparesis in December 2004. In accordance with the Interventional Procedures Programme Process Guide, guidance on procedures with special arrangements are reviewed 3 years after publication and the procedure is reassessed if important new evidence is available.

The guidance was considered for reassessment in October 2009 and it was concluded that NICE will not be updating this guidance at this stage. However, if you believe there is new evidence which should warrant a review of our guidance, please contact us via the email address below.

Description

Gastroelectrical stimulation is an option for the treatment of patients with chronic, intractable (drug-refractory) nausea and vomiting secondary to gastroparesis. Other options include the palliative procedures of jejunostomy tube for feeding, gastrostomy tube for stomach decompression, and pyloroplasty to improve or facilitate gastric emptying.

Electrical stimulation is delivered via an implanted system that consists of a neurostimulator and two leads. Under general anaesthetic, the stimulating electrode of each intramuscular lead is fixed to the muscle of the lower stomach. The connector end of each lead is then attached to the neurostimulator, which is placed in a small pocket in the abdominal wall via a surgical incision. When the neurostimulator is turned on, electrical impulses are delivered. A programmer can adjust the rate and amplitude of stimulation.

OPCS4.6 Code(s):

A70.1 Implantation of neurostimulator into peripheral nerve

Z27.2 Stomach

_{The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding}

Details

Contact details:

Links:

	IPG103 Gastroelectrical stimulation for gastroparesis: guidance	15 December 2004
	IPG103 Gastroelectrical stimulation for gastroparesis: guidance (Web format)	09 February 2011
	IPG103 Gastroelectrical stimulation for gastroparesis: understanding NICE guidance	15 December 2004
	IPG103 Symbyliad gastrodrydanol ar gyfer gastroparesis: deall canllawiau NICE	29 May 2009
	IPG103 Gastroelectrical stimulation for gastroparesis: distribution list	15 December 2004
	Interventional procedure consultation document - gastroelectrical stimulation for gastroparesis	29 June 2004
	Overview of gastroelectrical stimulation for gastroparesis	12 October 2004