Introduction: Severe gastroparesis is an incapacitating condition, often leading to significant morbidity. It is frequently resistant to all forms of medical treatment and leads to poor quality of life. It leads to frequent hospitalizations, requiring intravenous fluids and supplementary nutrition through enteral or parenteral routes. Our goal was to develop a simplified technique for insertion of Enteraa gastric electrical stimulation system.

Methods: Enterra system (Medtronic Inc, Minneapolis, USA) is a humanitarina use FDA apporoved battery powered electrical stimulation system for the treatment of severe gastroparesis. It consists of two eletrical leads inserted extramucosal in the gastric wall and connected to a generator placed in the subcutanoeus pocket of the abdominal wall. Fe publications have described laparoscopic insertion using a four port technique. We describe a simplified three port (one 12 mm and two 5 mm) technique for insertion of electrical leads. intraoperative gastroscopy is performed to ensure extramucosal placement. The leads qwere preferable placed 10 cm proximal to pyloric sphincter and were 1 cm apart. The electrical generator was placed in the left lower quadrant.

Results: This procedure has been performed in 12 adults thus far. Operating time has been an average of 52 minutes. No complications have been noted. patients with multiple upper abdominal procedures were excluded.

Conclusion: We present a video of simplified technique for laparoscopic insertion of Enetrra system.