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Two cases of acute gastric dilation after radiofrequency catheter ablation for supraventricular arrhythmia
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- UENO Masayuki
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- SHIMODATE Yuichi
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- MITANI Yousuke
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- DOI Akira
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- NISHIMURA Naoyuki
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- MOURI Hirokazu
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- TAKABATAKE Hiroyuki
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- MATSUEDA Kazuhiro
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- YAMAMOTO Hiroshi
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
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- MIZUNO Motowo
- Department of Gastroenterology and Hepatology, Kurashiki Central Hospital
Bibliographic Information
- Other Title
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- 上室性不整脈に対するカテーテルアブレーション施行後に急性胃拡張を発症した2例
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Description
<p>We describe our experience with two cases of acute gastric dilation after radiofrequency catheter ablation (RFCA) for supraventricular arrhythmia. After the RFCA procedure, patients experienced epigastric pain, abdominal distension, and vomiting. Computed tomography showed marked dilation of their stomachs, but without apparent obstruction of the gastric antrum or the duodenum. Esophagogastroduodenoscopy and upper gastrointestinal series revealed significant gastroparesis. We considered that gastric hypomotility had been induced by vagus nerve injury after RFCA. Peristaltic stimulants effectively improved the patients' symptoms by improving gastric motility. There have been few reports of acute gastric dilation after RFCA in Japan to date, but the possibility of encountering this condition is expected to increase in parallel with the recent increased use of RFCA. Therefore, gastroenterologists should be alert to this rare complication.</p>
Journal
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- Nippon Shokakibyo Gakkai Zasshi
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Nippon Shokakibyo Gakkai Zasshi 114 (3), 438-444, 2017
The Japanese Society of Gastroenterology