|
KMID : 1141820170170020173
|
|
Journal of Gastric Cancer
2017 Volume.17 No. 2 p.173 ~ p.179
|
|
|
Botulinum Toxin Injection for the Treatment of Delayed Gastric Emptying Following Pylorus-Preserving Gastrectomy: an Initial Experience
|
|
Lee Jung-Hwan
Kim Chan-Gyoo
Kim Young-Woo
Choi Il-Ju
Lee Jong-Yeul
Cho Soo-Jeong
Kim Young-Il
Eom Bang-Wool
Yoon Hong-Man
Ryu Keun-Won
|
|
|
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 and Methods: 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.
|
|
|
KEYWORD
|
|
|
Surgery, Gastric stasis, Gastrectomy, Complications, Endoscopy, Botulinum toxins
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|