{"id":"https://openalex.org/W2978628636","doi":"https://doi.org/10.14309/00000434-200809001-00147","title":"Is Total Gastrectomy a Good Option for Refractory Gastroparesis? One Site Experience","display_name":"Is Total Gastrectomy a Good Option for Refractory Gastroparesis? One Site Experience","publication_year":2008,"publication_date":"2008-09-01","ids":{"openalex":"https://openalex.org/W2978628636","doi":"https://doi.org/10.14309/00000434-200809001-00147","mag":"2978628636"},"language":"en","primary_location":{"id":"doi:10.14309/00000434-200809001-00147","doi":"https://doi.org/10.14309/00000434-200809001-00147","is_oa":false,"landing_page_url":"https://doi.org/10.14309/00000434-200809001-00147","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5081613420","display_name":"Pavan Saridena","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802074625","display_name":"Bridgeport Hospital","ror":"https://ror.org/000yct867","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802074625","https://openalex.org/I4210117499"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Pavan Saridena","raw_affiliation_strings":["Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I2802074625","https://openalex.org/I32971472","https://openalex.org/I4210128618"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073339338","display_name":"Reza A. Hejazi","orcid":"https://orcid.org/0000-0003-2469-1419","observed_orcids":["https://orcid.org/0000-0003-2469-1419"]},"institutions":[{"id":"https://openalex.org/I2802074625","display_name":"Bridgeport Hospital","ror":"https://ror.org/000yct867","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802074625","https://openalex.org/I4210117499"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Reza Hejazi","raw_affiliation_strings":["Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I2802074625","https://openalex.org/I32971472","https://openalex.org/I4210128618"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006433297","display_name":"Irene Sarosiek","orcid":"https://orcid.org/0000-0003-1678-7269","observed_orcids":["https://orcid.org/0000-0003-1678-7269"]},"institutions":[{"id":"https://openalex.org/I2802074625","display_name":"Bridgeport Hospital","ror":"https://ror.org/000yct867","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802074625","https://openalex.org/I4210117499"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Irene Sarosiek","raw_affiliation_strings":["Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I2802074625","https://openalex.org/I32971472","https://openalex.org/I4210128618"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5005028574","display_name":"Richard W. McCallum","orcid":"https://orcid.org/0000-0002-6652-8049","observed_orcids":["https://orcid.org/0000-0002-6652-8049"]},"institutions":[{"id":"https://openalex.org/I2802074625","display_name":"Bridgeport Hospital","ror":"https://ror.org/000yct867","country_code":"US","type":"nonprofit","lineage":["https://openalex.org/I2802074625","https://openalex.org/I4210117499"]},{"id":"https://openalex.org/I32971472","display_name":"Yale University","ror":"https://ror.org/03v76x132","country_code":"US","type":"education","lineage":["https://openalex.org/I32971472"]},{"id":"https://openalex.org/I4210128618","display_name":"University of Kansas Medical Center","ror":"https://ror.org/036c9yv20","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210128618"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Richard McCallum","raw_affiliation_strings":["Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Bridgeport Hospital, Yale University, Bridgeport, CT, Internal Medicine, Kansas University Medical Center, Kansas City, KS","institution_ids":["https://openalex.org/I2802074625","https://openalex.org/I32971472","https://openalex.org/I4210128618"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5081613420"],"corresponding_institution_ids":["https://openalex.org/I2802074625","https://openalex.org/I32971472","https://openalex.org/I4210128618"],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":0.3274,"has_fulltext":false,"cited_by_count":5,"citation_normalized_percentile":{"value":0.73383762,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":96},"biblio":{"volume":"103","issue":null,"first_page":"S58","last_page":"S58"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10365","display_name":"Gastrointestinal motility and disorders","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11378","display_name":"Gastrointestinal Bleeding Diagnosis and Treatment","score":0.005100000184029341,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12020","display_name":"Enhanced Recovery After Surgery","score":0.0008999999845400453,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/total-gastrectomy","display_name":"total gastrectomy","score":0.9810000061988831},{"id":"https://openalex.org/keywords/refractory-gastroparesis","display_name":"refractory gastroparesis","score":0.996999979019165},{"id":"https://openalex.org/keywords/gastric-electrical-stimulation","display_name":"gastric electrical stimulation","score":0.7200000286102295},{"id":"https://openalex.org/keywords/diabetes-mellitus","display_name":"diabetes mellitus","score":0.7599999904632568},{"id":"https://openalex.org/keywords/postoperative-gastroparesis","display_name":"postoperative gastroparesis","score":0.949999988079071},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.9139999747276306},{"id":"https://openalex.org/keywords/nausea-and-vomiting","display_name":"nausea and vomiting","score":0.8100000023841858},{"id":"https://openalex.org/keywords/feeding-jejunostomy","display_name":"feeding jejunostomy","score":0.7730000019073486},{"id":"https://openalex.org/keywords/long-term-outcomes","display_name":"long-term outcomes","score":0.7149999737739563},{"id":"https://openalex.org/keywords/prokinetic-agents","display_name":"prokinetic agents","score":0.453000009059906},{"id":"https://openalex.org/keywords/antiemetics","display_name":"antiemetics","score":0.8149999976158142},{"id":"https://openalex.org/keywords/hospitalization-reduction","display_name":"hospitalization reduction","score":0.6570000052452087},{"id":"https://openalex.org/keywords/weight-loss","display_name":"weight loss","score":0.5619999766349792},{"id":"https://openalex.org/keywords/end-stage-renal-disease","display_name":"end-stage renal disease","score":0.5239999890327454},{"id":"https://openalex.org/keywords/palliative-care","display_name":"palliative care","score":0.421999990940094},{"id":"https://openalex.org/keywords/palliative-sedation","display_name":"palliative sedation","score":0.4259999990463257}],"concepts":[{"id":"https://openalex.org/C2778769438","wikidata":"https://www.wikidata.org/wiki/Q943897","display_name":"Gastroparesis","level":4,"score":0.9741619825363159},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9695721864700317},{"id":"https://openalex.org/C2780470880","wikidata":"https://www.wikidata.org/wiki/Q827390","display_name":"Gastrectomy","level":3,"score":0.7570573687553406},{"id":"https://openalex.org/C142424586","wikidata":"https://www.wikidata.org/wiki/Q7307572","display_name":"Refractory (planetary science)","level":2,"score":0.754996657371521},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.48784828186035156},{"id":"https://openalex.org/C90924648","wikidata":"https://www.wikidata.org/wiki/Q120569","display_name":"Gastroenterology","level":1,"score":0.45788514614105225},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.35765713453292847},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.3510535955429077},{"id":"https://openalex.org/C2779422922","wikidata":"https://www.wikidata.org/wiki/Q1029907","display_name":"Stomach","level":2,"score":0.23643288016319275},{"id":"https://openalex.org/C3020479747","wikidata":"https://www.wikidata.org/wiki/Q1029907","display_name":"Gastric emptying","level":3,"score":0.12279370427131653},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.043528616428375244},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0},{"id":"https://openalex.org/C87355193","wikidata":"https://www.wikidata.org/wiki/Q411","display_name":"Astrobiology","level":1,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/00000434-200809001-00147","doi":"https://doi.org/10.14309/00000434-200809001-00147","is_oa":false,"landing_page_url":"https://doi.org/10.14309/00000434-200809001-00147","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/2","display_name":"Zero hunger","score":0.6899999976158142}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2033915789","https://openalex.org/W1984622045","https://openalex.org/W4220955869","https://openalex.org/W1977842549","https://openalex.org/W2414838345","https://openalex.org/W4401390764","https://openalex.org/W4395053000","https://openalex.org/W2978039936","https://openalex.org/W4366141624","https://openalex.org/W3021994978"],"abstract_inverted_index":{"Purpose:":[0],"Severe":[1],"refractory":[2],"gastroparesis":[3],"(GP)":[4],"is":[5,16,25,213],"associated":[6],"with":[7,40,52,57,73,106,171,288,345,366,375],"disabling":[8],"symptoms":[9,161,370],"and":[10,35,37,68,91,140,150,162,184,194,203,234,265,299,320,328,336,347,394,409,413],"frequent":[11,415],"hospitalizations.":[12],"Total":[13],"gastrectomy":[14],"(TG)":[15],"regarded":[17],"as":[18,125,389,391,411],"the":[19,45,109,126,261,316,350,356],"last":[20,110,127],"treatment":[21,64],"option.":[22],"The":[23,76],"literature":[24],"focused":[26],"on":[27,331],"TG":[28,53,84,124,195,212,357,400],"in":[29,85,159,223,426],"settings":[30],"of":[31,83,87,93,95,118,121,174,178,220,263,267,281,291,303,309,318,349,362,381],"partial":[32],"gastric":[33,70],"resections":[34],"GP":[36,59,102,324,369,382],"not":[38,239,354],"diabetics":[39,182,374],"an":[41],"intact":[42,376],"stomach.":[43],"In":[44],"present":[46],"analysis,":[47],"we":[48],"report":[49],"our":[50,114,363],"experience":[51],"offered":[54],"to":[55,79,129,145,156,225,243],"patients":[56,103,122,352,365,383],"severe":[58],"who":[60,231],"had":[61],"failed":[62],"standard":[63],"involving":[65],"prokinetics,":[66],"antiemetics,":[67],"even":[69],"neurostimulator":[71],"(GES)":[72],"Enterra":[74],"Therapy.":[75],"study":[77],"attempts":[78],"define":[80],"long-term":[81],"benefits":[82],"terms":[86],"its":[88],"clinical":[89,138,404],"outcome":[90,405],"status":[92],"quality":[94],"life":[96],"(QOL).":[97],"Methods:":[98],"More":[99],"than":[100],"200":[101],"were":[104,143,166,181,186,258],"implanted":[105],"GES":[107,193,364],"over":[108],"10":[111],"years":[112,200,215],"at":[113,260,270],"institution.":[115],"A":[116],"total":[117],"9":[119],"(4%)":[120],"underwent":[123],"option":[128],"control":[130,408],"their":[131,403],"symptoms.":[132],"Information":[133],"from":[134,247],"medical":[135],"chart":[136],"reviews,":[137],"visits,":[139],"telephone":[141],"interviews":[142],"gathered":[144],"answer":[146],"standardized":[147],"basic":[148],"questionnaires":[149],"VAS":[151],"score":[152],"(1\u2013100%)":[153],"was":[154,198,250,384],"used":[155],"monitor":[157],"changes":[158],"GI":[160],"QOL.":[163],"Results:":[164],"There":[165],"3":[167,185],"M,":[168],"6":[169,177,248],"F":[170],"mean":[172],"age":[173],"41":[175],"(26\u20139),":[176],"them":[179,268,310],"(65%)":[180],"(DM)":[183],"post-surgical":[187],"(PS)":[188],"GP.":[189],"Average":[190,208],"duration":[191],"between":[192],"for":[196,252,305,417],"DM":[197,221,274],"2.5":[199],"(range":[201,334],"1.0\u20133.5)":[202],"PS":[204],"1":[205],"year":[206],"(0.5\u20132).":[207],"follow-up":[209],"(FU)":[210],"post":[211],"3.5":[214],"(1\u20135":[216],"range).":[217],"Systemic":[218],"complications":[219],"resulted":[222],"decision":[224],"stop":[226],"dialysis":[227],"by":[228,386],"two":[229],"subjects,":[230],"subsequently":[232],"died":[233],"one":[235],"additional":[236],"patient":[237,275],"could":[238],"be":[240],"interviewed":[241,351],"(lost":[242],"FU).":[244],"Hence,":[245],"information":[246],"subjects":[249],"available":[251],"evaluation.":[253,272],"Feeding":[254],"jejunostomy":[255],"tubes":[256],"(J-tubes)":[257],"placed":[259],"time":[262],"TG,":[264,372],"80%":[266],"remained":[269],"FU":[271],"One":[273],"lost":[276],"50":[277],"lbs":[278],"after":[279,397],"discontinuation":[280],"J-tube":[282],"feedings.":[283],"All":[284,308],"others":[285],"are":[286,296,338],"stable":[287],"weight":[289],"range":[290],"125\u2013130":[292],"lbs.":[293],"They":[294,341],"all":[295,300,337],"taking":[297],"prokinetics/antiemetics":[298],"required":[301,371],"continuation":[302],"narcotics":[304],"generalized":[306],"pain.":[307],"significantly":[311,401],"reduced":[312],"or":[313],"eliminated":[314],"completely":[315],"number":[317],"hospitalizations":[319,416],"ER":[321],"visits.":[322],"Their":[323],"symptoms,":[325],"specifically":[326],"nausea":[327],"vomiting,":[329],"improved":[330,402],"average":[332],"55%":[333],"40\u201380%)":[335],"nutritionally":[339],"stable.":[340],"estimated":[342],"45\u201350%":[343],"improvement":[344],"QOL":[346,410],"100%":[348],"did":[353],"regret":[355],"decision.":[358],"Conclusion:":[359],"1.":[360],"4%":[361],"continuing,":[367],"uncontrolled":[368],"including":[373,406],"stomachs.":[377],"2.":[378],"This":[379],"subgroup":[380],"dominated":[385],"narcotic":[387],"use":[388],"well":[390,412],"abdominal":[392],"pain,":[393],"this":[395,427],"continues":[396],"TG.":[398],"3.":[399],"symptom":[407],"prevented":[414],"vomiting.":[418],"4.":[419],"Supplemental":[420],"jejunal":[421],"feedings":[422],"remain":[423],"a":[424],"necessity":[425],"group.":[428]},"counts_by_year":[{"year":2019,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":2}],"updated_date":"2026-10-08T09:06:37.294493","created_date":"2019-10-10T00:00:00"}