Gastroelectrical stimulation for gastroparesis (IPG103)
The Interventional Procedures Advisory Committee (IPAC) has considered this procedure and NICE has issued a consultation document about its safety and efficacy. Consultation has now ended. IPAC will consider the consultation comments and produce a Final Interventional Procedures Document, which will be considered by NICE before guidance is issued to the NHS in England, Wales, Scotland and Northern Ireland.
The consultation period for this procedure closed on the 22nd January 2014
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Gastroparesis is a chronic disorder in which the stomach empties more slowly than normal (delayed gastric emptying) in the absence of any type of mechanical obstruction. The most common symptoms are nausea and protracted vomiting. Other symptoms include abdominal bloating, pain and, in severe cases, malnutrition.
Gastroparesis most commonly occurs in people with type 1 diabetes. It can also occur after abdominal surgery or in association with other disorders such as anorexia nervosa and abdominal migraine. Conservative treatment options include modification of dietary intake and medical therapy with antiemetics or prokinetics. Treatment options for chronic intractable (drug-refractory) symptoms include jejunostomy tube insertion for feeding, gastrostomy tube insertion for stomach decompression, and pyloroplasty.
Gastroelectrical stimulation is an option for treating chronic, intractable nausea and vomiting secondary to gastroparesis.
A70.1 Implantation of neurostimulator into peripheral nerve
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
- Gastroelectrical stimulation for gastroparesis; consultation document
- Gastroelectrical stimulation for gastroparesis; overview
- IPG103 Gastroelectrical stimulation for gastroparesis: guidance
- IPG103 Gastroelectrical stimulation for gastroparesis: guidance (Web format)
- IPG103 Gastroelectrical stimulation for gastroparesis: understanding NICE guidance
- IPG103 Gastroelectrical stimulation for gastroparesis: distribution list
- Interventional procedure consultation document - gastroelectrical stimulation for gastroparesis
- Overview of gastroelectrical stimulation for gastroparesis
This page was last updated: 22 January 2014
- Web format
- Full Guidance (PDF)
- IPG103 Symbyliad gastrodrydanol ar gyfer gastroparesis: deall canllawiau NICE
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