FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2979974225> ?p ?o ?g. }

• W2979974225 endingPage "S1038" @default.
• W2979974225 startingPage "S1038" @default.
• W2979974225 abstract "INTRODUCTION: Percutaneous radiofrequency ablation (RFA) is now a common minimally invasive procedure for the maintenance of sinus rhythm in drug-resistant atrial fibrillation. We present a rare case of acute delayed gastric emptying after an RFA procedure. CASE DESCRIPTION/METHODS: 57-year-old male with a history significant only for paroxysmal atrial fibrillation, who presented for a planned RFA procedure. He has no other medical or surgical history. The patient tolerated the procedure well and was discharged the same day. That evening, 1-2 hours after he ate dinner, he experienced severe nausea, vomiting, and abdominal pain. He was hemodynamically stable on presentation to the emergency department with labs significant only for a mild leukocytosis. Computed tomography showed a severely dilated stomach and proximal duodenum, with a transition point identified at the third portion of the duodenum. The patient was managed conservatively as a case of proximal small bowel obstruction. As he had mild improvement in symptoms after five days, the decision was made for an exploratory laparotomy. An intra-operative push enteroscopy demonstrated large amounts of retained food in the stomach, but no gastroduodenal outlet obstruction. A diagnosis of acute gastroparesis syndrome was made, and surgical exploration was not done. The patient was discharged, managed conservatively, and on follow-up 4 weeks later his symptoms had significantly improved. DISCUSSION: Acute gastroparesis syndrome is a rare complication of RFA for atrial fibrillation, that occurs due to thermal injury to the peri-esophageal vagal nerves during ablation. Symptoms of nausea, bloating, vomiting, gastric pain occur within 72 hours after the procedure. Most patients fully recover within 1-2 months after the procedure with conservative management. However, a few reported cases with persistent symptoms required eventual esophagojejunal anastomosis or intra-pyloric botulinum injection. Due to wide variation in vagal plexus anatomy around the lower esophagus, and lack of visualization of the nervous system, nerve injury is hard to avoid. Higher BMI was noted to be a protective. Minimizing RF ablative power around the esophagus and/or esophageal temperature monitoring may be a strategy to lower the risk. As RFA ablation for atrial fibrillation becomes more common, gastroenterologists should be aware of this complication." @default.
• W2979974225 created "2019-10-18" @default.
• W2979974225 creator A5007409503 @default.
• W2979974225 creator A5065502528 @default.
• W2979974225 creator A5083517845 @default.
• W2979974225 date "2019-10-01" @default.
• W2979974225 modified "2023-10-16" @default.
• W2979974225 title "1852 Acute Gastroparesis Syndrome After Percutaneous Atrial Fibrillation Ablation" @default.
• W2979974225 doi "https://doi.org/10.14309/01.ajg.0000596940.41084.87" @default.
• W2979974225 hasPublicationYear "2019" @default.
• W2979974225 type Work @default.
• W2979974225 sameAs 2979974225 @default.
• W2979974225 citedByCount "0" @default.
• W2979974225 crossrefType "journal-article" @default.
• W2979974225 hasAuthorship W2979974225A5007409503 @default.
• W2979974225 hasAuthorship W2979974225A5065502528 @default.
• W2979974225 hasAuthorship W2979974225A5083517845 @default.
• W2979974225 hasBestOaLocation W29799742251 @default.
• W2979974225 hasConcept C126322002 @default.
• W2979974225 hasConcept C141071460 @default.
• W2979974225 hasConcept C2778769438 @default.
• W2979974225 hasConcept C2778966966 @default.
• W2979974225 hasConcept C2779161974 @default.
• W2979974225 hasConcept C2779422922 @default.
• W2979974225 hasConcept C2779787475 @default.
• W2979974225 hasConcept C2780580376 @default.
• W2979974225 hasConcept C2780852908 @default.
• W2979974225 hasConcept C2780955771 @default.
• W2979974225 hasConcept C3020479747 @default.
• W2979974225 hasConcept C42219234 @default.
• W2979974225 hasConcept C71924100 @default.
• W2979974225 hasConceptScore W2979974225C126322002 @default.
• W2979974225 hasConceptScore W2979974225C141071460 @default.
• W2979974225 hasConceptScore W2979974225C2778769438 @default.
• W2979974225 hasConceptScore W2979974225C2778966966 @default.
• W2979974225 hasConceptScore W2979974225C2779161974 @default.
• W2979974225 hasConceptScore W2979974225C2779422922 @default.
• W2979974225 hasConceptScore W2979974225C2779787475 @default.
• W2979974225 hasConceptScore W2979974225C2780580376 @default.
• W2979974225 hasConceptScore W2979974225C2780852908 @default.
• W2979974225 hasConceptScore W2979974225C2780955771 @default.
• W2979974225 hasConceptScore W2979974225C3020479747 @default.
• W2979974225 hasConceptScore W2979974225C42219234 @default.
• W2979974225 hasConceptScore W2979974225C71924100 @default.
• W2979974225 hasIssue "1" @default.
• W2979974225 hasLocation W29799742251 @default.
• W2979974225 hasLocation W29799742252 @default.
• W2979974225 hasOpenAccess W2979974225 @default.
• W2979974225 hasPrimaryLocation W29799742251 @default.
• W2979974225 hasRelatedWork W2025213762 @default.
• W2979974225 hasRelatedWork W2056589641 @default.
• W2979974225 hasRelatedWork W2090120368 @default.
• W2979974225 hasRelatedWork W2093502991 @default.
• W2979974225 hasRelatedWork W2115207156 @default.
• W2979974225 hasRelatedWork W2320176280 @default.
• W2979974225 hasRelatedWork W3045156779 @default.
• W2979974225 hasRelatedWork W3209051140 @default.
• W2979974225 hasRelatedWork W4255309818 @default.
• W2979974225 hasRelatedWork W84906379 @default.
• W2979974225 hasVolume "114" @default.
• W2979974225 isParatext "false" @default.
• W2979974225 isRetracted "false" @default.
• W2979974225 magId "2979974225" @default.
• W2979974225 workType "article" @default.