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Postsurgical Gastroparesis

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Gastroparesis

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Postsurgical gastroparesis (PSG) remains an important cause of gastroparesis, although it is less common than diabetic and idiopathic etiologies. The surgeries responsible for PSG classically have been surgery for peptic ulcer disease often with truncal vagotomy. Today, PSG appears to be more likely associated with vagal nerve injury following antireflux or bariatric surgery. Management of patients with persistent refractory postsurgical gastroparesis can be challenging. A multidisciplinary approach with input from gastroenterologists, surgeons, and nutritionists is helpful. At times, jejunostomy tube feedings may be needed for nutrition. Completion gastrectomy or gastric electrical stimulation may be helpful in a carefully selected minority of patients with refractory severe symptoms.

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Author information

Authors and Affiliations

  1. Department of Internal Medicine, University Medical Center, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA

    Reza A. Hejazi MD (Post Doctoral Research Associate)

  2. Department of Medicine, Temple University Hospital, Philadelphia, Pennsylvania, USA

    Henry P. Parkman MD (Gastroenterology Section)

  3. Department of Internal Medicine, University Medical Center, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX, 79905, USA

    Richard W. McCallum MD

Authors
  1. Reza A. Hejazi MD
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  2. Henry P. Parkman MD
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  3. Richard W. McCallum MD
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Corresponding author

Correspondence to Richard W. McCallum MD .

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Editors and Affiliations

  1. School of Medicine, Department of Medicine, Temple University, N. Broad St. 3401, Philadelphia, 19140, Pennsylvania, USA

    Henry P. Parkman

  2. Paul L Foster School of Medicine, Department of Internal Medicine, Texas Tech University Health Sciences Ce, Alberta Avenue 4800, El Paso, 77905, Texas, USA

    Richard W. McCallum

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Hejazi, R.A., Parkman, H.P., McCallum, R.W. (2012). Postsurgical Gastroparesis. In: Parkman, H., McCallum, R. (eds) Gastroparesis. Clinical Gastroenterology. Humana Press. https://doi.org/10.1007/978-1-60761-552-1_17

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  • DOI: https://doi.org/10.1007/978-1-60761-552-1_17

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  • Publisher Name: Humana Press

  • Print ISBN: 978-1-60761-551-4

  • Online ISBN: 978-1-60761-552-1

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