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Diabetic Gastroparesis Treatment

Using a Feeding Tube for Diabetic Gastroparesis Treatment

If other approaches do not work, you may need surgery to insert a feeding tube. The tube, called a jejunostomy tube, is inserted through the skin on your abdomen into the small intestine. The feeding tube allows you to put nutrients directly into the small intestine, bypassing the stomach altogether. You will receive special liquid food to use with the tube. A jejunostomy is particularly useful when diabetic gastroparesis prevents the nutrients and medication necessary to regulate blood glucose levels from reaching the bloodstream. By avoiding the source of the problem -- the stomach -- and putting nutrients and medication directly into the small intestine, you ensure that these products are digested and delivered to your bloodstream quickly. A jejunostomy tube can be temporary and is used only if necessary when diabetic gastroparesis is severe.
 

Parenteral Nutrition as a Diabetic Gastroparesis Treatment

Parenteral nutrition refers to delivering nutrients directly into the bloodstream, bypassing the digestive system. The doctor places a thin tube called a catheter in a chest vein, leaving an opening to it outside the skin. For feeding, you attach a bag containing liquid nutrients or medication to the catheter. The fluid enters your bloodstream through the vein. Your doctor will tell you what type of liquid nutrition to use.
 
This approach is an alternative to the jejunostomy tube and is usually a temporary method to get you through a difficult spell of diabetic gastroparesis. Parenteral nutrition is used only when diabetic gastroparesis is severe and is not helped by other methods.
 

New Diabetic Gastroparesis Treatments

A gastric neurostimulator has been developed to assist people with diabetic gastroparesis. The battery-operated device is surgically implanted and emits mild electrical pulses that help control nausea and vomiting associated with diabetic gastroparesis. This option is available to people whose nausea and vomiting do not improve with medications.
 
The use of botulinum toxin has been shown to improve stomach emptying and the symptoms of diabetic gastroparesis by decreasing the prolonged contractions of the muscle between the stomach and the small intestine (pyloric sphincter). The toxin is injected into the pyloric sphincter.
 
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Diabetic Gastroparesis Information

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