Gastroparesis is an entity most commonly discussed as a consequence of diabetes mellitus. However, diabetes is a factor in only about a third of patients who present with this clinical problem. Gastroparesis can be debilitating, resulting in poor quality of life, recurrent hospital admissions, and often multiple medications and procedures. Historically, postsurgical gastroparesis was diagnosed after surgical treatment of peptic ulcer disease with vagotomy to reduce gastric acid. Although acid-reduction surgery is significantly less common today, symptoms of gastroparesis following procedures like sleeve gastrectomy or fundoplication are a known cause of postoperative morbidity. This chapter addresses gastroparesis occurring in the postoperative setting. It explores the natural history of this clinical entity, reviews possible mechanisms, and discusses available treatment options.
KeywordsGastroparesis Postoperative gastroparesis Postsurgical gastroparesis Gastric emptying Pyloroplasty Gastric stimulation Per-oral pyloromyotomy
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