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3CPM Electrogastrography and Electroviscerography systems are based on over 150 year’s worth of critical and ground breaking science from some of the world’s most brilliant and leading medical and scientific experts. Every year, more and more research is performed and emerges, further establishing the vital nature of this technology. This literature library contains articles of much of the foundational material up through recent clinical publications of peer reviewed articles and book chapters. We include all the literature here, including from complementary similarly minded technologies. We believe that all knowledge must be shared broadly and indiscriminately to foster the next generation of critical thinkers, developers and inventors. By working together, we will be able to understand and even cure many ailments that remain enigmatic even today. Please check back regularly for updates on the latest science of Electrogastrography and Electroviscerography.

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What is EGG

The 3CPM® Company’s Electrogastrography/Electroviscerography  (EGG/EVG ) Systems is a class II medical device  that records, stores, analyzes, displays and prints the myoelectric signals from the stomach and gastrointestinal system as an aid to diagnosis of various gastric and gastrointestinal motility disorders.

The EGG/EVG is a non-invasive test of gastric myoelectrical activity of the digestive system. The EGG/EVG reflects the stomach’s pacesetter potential activities, much like the electrocardiogram (ECG) reflects electrical events occurring in the heart. It does this by looking at the activity of pacemaker cells of the gastrointestinal system known as ICCs. The performance of an EGG does not require pre-medication and has no significant side effects.

In particular, it allows the doctor to divide disorders of stomach motility into different subtypes based upon the energy detected during peristalsis or contraction of the smooth muscle of the gastrointestinal tract.  Known as the EGG/EVG signal, it is an energy recording of what is called myoelectrical activity or GMA.. Once the subtypes of GMA are known, it is then possible to diagnosis your illness more specific to your body’s physiology. Once compared to the information from healthy normal people, your physician is able to select treatments that are designed specifically for you. This may allow for your illness to be better controlled or in some cases even cured. This is known as personalized medicine.

Hear Real Stories from our Patients

An Electrogastrogram/Electroviscerogram is Indicated for Patients Who Have:

  • Gastroparesis
  • Unexplained nausea, vomiting, bloating, early satiety
  • Unexplained or functional dyspepsia
  • Chronic GERD

In its position paper on nausea and vomiting, the American Gastroenterological Association included Electrogastrogram in its algorithm for the evaluation and management of nausea. Optimum use of this device requires a basic familiarity with the published literature which describes typical EGG patterns commonly encountered in clinical practice with specific patient groups and related interpretative techniques.

The secret of the technology is the Human Interface Module or HID. Inside of the device are special filters that have characteristic amplifiers to allow detection of biological signals with approximate frequency ranges from 1 to 200 cycles per minute (cpm) to pass through for recording and digitization.

To see how the EGG/EVG is performed please click here.

The Electrogastrogram Data Is Presented In Four Major Frequency Ranges

  • Normal (2.5 to 3.75 cpm)
  • Bradygastria (1.0-2.5 cpm)
  • Tachygastria (3.75-10.0 cpm)
  • Duodenal-Respiratory (10.0-15 cpm)

How it Helps Disease: You May Have a Curable Form Of Gastroparesis

Of the estimated 40 million Americans that suffer from this disease, 25-28% have a subtype that may be cured with simple endoscopic balloon dilation.

Gastroparesis

Gastroparesis may be divided into subtypes that include obstructive, reflux related, and poor conduction types. Only the EGG can properly identify the type of dysmotility and lead to either correction or proper treatment and control. In obstructive subtypes, 3CPM® Company EGG GMAT® software successfully predicts a 93% response to endoscopic pyloric balloon dilation.

  • pdfRead Case Study 1: Use Of Electrogastrography In The Detection Of Functional Pyloric Outlet Obstruction
  • pdfRead Case Study 2: Gastric Outlet Obstruction In A Physically Active, Young Woman

GERD- Reflux Disease

Up to 40-45% of people who suffer from GERD have gastroparesis and symptoms of bloating and satiety. Associated EGG definable subtypes include functional obstruction and reflux related or GERD+. Reflux related subtypes are cured with correction of the GERD, while obstructive subtypes require pyloric therapy. Obstructive subtypes require resolution prior to correction of reflux to avoid potential complications.

Nausea, Vomiting and Dyspepsia

These symptoms are often due to poor conduction associated to low numbers of ICCs. The quality of the 3CPM signal correlates directly with quality and numbers of the ICC’s. Normal ICC quality correlates directly with the success of therapy like medication or the Enterra stimulator for gastroparesis. If poor ICC’s are noted, then therapy is directed towards restoration of the ICC’s.

  • pdfRead Case Study: Chronic Dyspepsia In a Middle-Aged Woman With Normal Gastric Emptying

iStock 1296176562Patients with Gastroparesis, Dyspepsia, chronic undefined nausea and vomiting, post prandial distress syndrome, or GERD respond to treatment with variable and often poor results.

  • EGG detects, analyzes and subtypes gastrointestinal myoelectrical activity (GMA) of motility.
  • EGG gives clinicians a window onto the cellular and physiological homeostatic controls
    • Etiology driven diagnostics are key to successful therapy
    • Allows recognition when homeostasis is uncoupled and restored
  • Better understanding of disease mechanisms helps to guide corrective therapy
  • Published evidence supports predictable therapeutic success and outcomes with GMA Subtyping
  • GMA subtyping may prevent post-operative complications or primary procedure failure
    • Allows recognition and pretreatment of subtle complicating gastric motility disorders

3CPM Electrogastrogram Billing & Administrator Information

In the current challenging environment of endoscopic utilization and reimbursements, one of the best investments in new technology is in that which represents science based on sound scientific foundations and clinical research with an eye not only to the future but to the past.

The 3CPM Company® Electrogastrogragraphy and Electroviscerography systems and software packages represent tested, true state-of-the-art devices, with a proven track record in producing significant  clinical and treatment outcomes.

Equally important is the ease of use, cost-saving design and documented favorable impact on ROI and the bottom line.

ASC, Clinic, Office and Hospital Logistics

The 3CPM EGG/EVG systems can be readily performed in and inpatient or outpatient office or clinic. Setup and testing is performed by medical staff, such as a technician. Following placement of 3 small electrode pads on the abdomen, the initial patient baseline and demographics entry takes 10-15 minutes. Patients sit calmly in a reclining chair, freeing up busy procedure rooms and staff. After a 5-minute water load, during which the patient drinks water, the patient rests comfortably for the remainder of the 30-minute test. 

Training

Medical staff, such as a technician, can safely perform the test once trained.  A set of highly regarded, detailed, easy to understand educational videos are available on the 3CPM website. For institutions that require certification for personnel, 3CPM will provide onsite training for a nominal fee + travel expenses. Training at the 3CPM home facility is another option and provided at no cost to the institution. Following successful completion of the didactic and hands-on training, staff is asked to perform and submit the results of 2 independent studies. Once completed training certificates are issued.

Reports

3CPM EGG/EVG systems provide accurate reproducible data on gastric function, compared to healthy normals. This is unique to our systems only. Reports may be customized to each insitutions’ needs and include:

  • Analysis, % distribution and stability of gastrointestinal electrical rhythms
  • Gastric accommodation profile
  • GMA subtyping of gastrointestinal myoelectrical activity
  • GMAT Threshold Measurement
  • Running spectral analysis over time
  • Artifact detection and automated minute selection
  • Standardized interpretation based upon published parameters
  • Healthy population based summary interpretive graphs
  • Suggested diagnoses

 Reports can be custom configures to meet institutional needs.

The EGG/EVG allows deeper understanding of the mechanisms driving patient disease and the GMA subtypes, which then permit greater understanding of viable treatment options and predicted outcomes. 

REIMBURSEMENT INFORMATION

Level I CPT code since 2000

CPT Coding per procedure

  • 91133 EGG w/stimulation
  • 99214 E&M code
  • Most quality insurance offers reimbursement
  • REQUEST MORE INFORMATION ON INSURANCE

ICD10 CODES

  • Gastro-esophageal reflux disease: K21.9
  • Heartburn: R12
  • Achlorhydria: K31.83
  • Gastroparesis: K31.84
  • Nausea: R11.0
  • Nausea and Vomiting: R11.2
  • Dyspepsia: K30

REGULATORY APPROVALS

  • FDA clearance
  • UL certification
  • KFDA clearance
  • MDSAP (regulatory clearance in US, Australia, Brasil, Canada and Japan
  • CE MDD* (*recertification to MDR in Q2 2022)
  1. 3CPM Electrogastrography: Answers to Difficult Motility Problems.
  2. Education

3CPM Company, Inc.
53 Loveton Circle, Suite 203
Sparks Glencoe, Maryland 21152. USA
Tel:  443-906-3276
Email: info@3cpm.com

https://3cpm.com
 Copyright - 3CPM Corporation