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Postsurgical Refractory Gastroparesis: Response to Botulinum Toxin Therapy
Deepika Sarvepalli1, Mamoon Ur Rashid2, Waqas Ullah3
1Internal Medicine, Guntur Medical College, Guntur, IND.
Cureus
|February 18, 2020
Summary
Postsurgical gastroparesis, a condition causing delayed stomach emptying, can occur after atrial fibrillation procedures. Botulinum toxin injections offer a new, effective treatment for this challenging condition.
Area of Science:
- Gastroenterology
- Neurology
Background:
- Gastroparesis is a motility disorder with delayed gastric emptying.
- Postsurgical gastroparesis is a significant cause, sometimes linked to vagus nerve damage from procedures like catheter ablation for atrial fibrillation.
Observation:
- This case report details a patient with postsurgical gastroparesis.
- The patient had previously undergone a procedure for atrial fibrillation.
Findings:
- Botulinum toxin injection into the pyloric sphincter was administered.
- The therapy resulted in a positive response, alleviating gastroparesis symptoms.
Implications:
- Botulinum toxin therapy is a promising invasive treatment for refractory gastroparesis.
- This approach may offer an alternative for patients unresponsive to conventional treatments.
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