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GASTRIC PACEMAKER Please also visit our [ General Information About Bariatric Surgery ] The Gastric Pacemaker or is a gastric stimulation system, where the pacemaker’s electrical leads are attached by a surgeon to the surface of the stomach. This device works on either or both of the following principles:- Disruption of gastrointestinal motility
- Stimulation of the Enteric nervous system (nervous system of stomach).
The aim is to increase satiety and thus making the patient eat less. This principle is referred to as gastric pacing.
The first principle has not been found as effective as it thought to be. The second principle is based on the fact that enteric nervous system carries signals to the brain that indicate satiety. By stimulating this nervous system, a gastric pace maker mimics satiety. This device is implanted using laparoscopic surgery. There are also some efforts to implant this device endoscopically avoiding surgery.
It is a technology that is still in the infancy and being tested in Europe and Canada and shows great promise. However, early evidence suggests that it cannot produce the same reduction in excess weight loss as Bariatric surgery such as Roux-en-Y or Laparoscopic Adjustable Gastric Banding.(14) Gastric Pacemaker in Germany
Or center for bariatric surgery is a leading institution with an established track record with this procedure. The bariatric surgeons are able to assess the risks and benefits of each procedure together with you and will, based on your personal requirements, suggest a procedure that is most suitable for you. Please contact us for more information.  References: - Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults. 1999–2002. JAMA 2004;291:2847–50.
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- Pories WJ. Bariatric Surgery: risks and rewards. J Clin Endocrinol Metab 2008; 93(11):S89–S96
- Sjöström L, Lindroos AK, Peltonen M, Torgerson J, Bouchard C, Carlsson B, Dahlgren S, Larsson B, Narbro K, Sjöström CD, Sullivan M, Wedel H. Lifestyle, diabetes, and cardiovascular risk factors 10 years after bariatric surgery. N Engl J Med 2004;351:2683–93.
- Buchwald H. International symposium on gastric banding. Supplement to Surgery for Obesity and Related Diseases.2008. Cambridge, MA: Elsevier; 4:35;pp 71
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