Gastroelectrical stimulation (GES) / gastro neuromodulation (not routinely commissioned)

For the treatment of

Drug refractory gastroparesis or persistent nausea and vomiting in the absence of a mechanical bowel obstruction.

Commissioning position

This intervention is not routinely commissioned and therefore should not be offered to patients. Application for funding approval can be made, using the IFR process, by the clinician recommending the intervention, if their assessment is that there are exceptional reasons why their patient could benefit from it.

Summary of rationale

The evidence of effectiveness is uncertain and only demonstrated in a small number of lower quality studies.

References

GES medical policy manual

GES for gastroparesis policy statement (NHSE)

Associated Pathways

Colorectal Lower GI Humber Community Endoscopy for Dyspepsia Humber Direct Access Endoscopy (NL & NEL) Humber Faecal Calprotectin Humber

Specialties

Dietetics York Dietetics North Yorkshire Dietetics Hull Dietetics East Riding Dietetics North Lincolnshire Dietetics North East Lincolnshire Gastroenterology Hull Gastroenterology East Riding Gastroenterology North Lincolnshire Gastroenterology North East Lincolnshire Gastroenterology & Hepatology York Gastroenterology & Hepatology North Yorkshire Neurology York Neurology North Yorkshire Neurology and Neurosurgery Hull Neurology and Neurosurgery East Riding Neurology and Neurosurgery North Lincolnshire Neurology and Neurosurgery North East Lincolnshire

Places covered by

  • East Riding
  • Hull
  • North East Lincolnshire
  • North Lincolnshire
  • North Yorkshire
  • Vale of York
Date created: 12/06/2025, 15:10
Last modified: 30/10/2025, 14:32
Date of review: 31/01/2028