Botulinum Toxin Injection for the Treatment of Delayed Gastric Emptying Following Pylorus-Preserving Gastrectomy: an Initial Experience
Journal of Gastric Cancer
;
: 173-179, 2017.
Artigo
em Inglês
| WPRIM
| ID: wpr-80095
ABSTRACT
PURPOSE:
To report our experience of endoscopic botulinum toxin injection in patients who experienced severe delayed gastric emptying after pylorus-preserving gastrectomy (PPG). MATERIALS ANDMETHODS:
We reviewed the medical records of 6 patients who received the botulinum toxin injection. They presented with severe delayed gastric emptying in the early postoperative period. Endoscopic botulinum toxin was administered as 4 injections of 25−50 IU into each of the 4 quadrants of the prepyloric area.RESULTS:
All botulinum toxin injections were successful without any complications, enabling 5 patients to tolerate soft solid diets and one to tolerate a soft fluid diet within 10 days. The endoscopic criteria of 4 patients improved. Symptom recurrence caused 2 patients to undergo repeat injections that were successful. The median follow-up period was 27 months, and all patients could ingest normal regular diets at the last follow-up.CONCLUSIONS:
Endoscopic botulinum toxin injection is a feasible treatment option for early delayed gastric emptying after PPG.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Período Pós-Operatório
/
Recidiva
/
Toxinas Botulínicas
/
Prontuários Médicos
/
Seguimentos
/
Gastroparesia
/
Dieta
/
Endoscopia
/
Gastrectomia
/
Esvaziamento Gástrico
Tipo de estudo:
Estudo observacional
/
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Gastric Cancer
Ano de publicação:
2017
Tipo de documento:
Artigo
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