Intricacy of Treating Chronic Nausea Associated Suicidal Ideation with Electroconvulsive Therapy and Gastric Electrical Stimulation: A Case Report

Abstract Background: Gastric electrical stimulation (GES) is an efficacious surgical intervention for medically refractory nausea and gastroparesis, though contraindicated poor candidates with magnetic resonance imaging. Electroconvulsive therapy (ECT) on individuals GES implant not well studied. Given that strongly associated anxiety depression, ECT should be avoided as absolute contraindication in patients a GES. Methods: Here we present 59-year-old male history of idiopathic chronic, persistent nausea, Major Depressive Disorder remission maintenance ECT. His gastroenterologist recommended was adamant he must discontinue believing it absolutely stating would damage the device. Verbal communication device manufacturer met equally strong verbiage contraindicated, although provide no supporting data this opinion. Despite reassurances from psychiatry, abandoned placement. Results: Over following year, his mood worsened, which precipitated several episodes suicidal ideation leading to multiple hospitalizations benzodiazepine overdose. After difficult year post GES, stabilized pharmacotherapy. Through understanding ECT, possible minimization benefits patient, unnecessary cessation led hazardous recurrence MDD. Conclusion: Although efficacious, may have significant delay response. patient status-post who suffered recurrent anxiety, SI after aborting discontinuation posed serious risk patient’s health safety. There currently record repercussions simultaneous use upon literature review. This poster will discuss field modeling, rationale why pose minimal device, stratification patient. Research Category Technology Methods Clinical Research: 2. Therapy Keywords: gastric stimulation, ideation, electroconvulsive