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- W4229969337 abstract "Postsurgical gastroparesis (PSG) is a syndrome of objectively delayed gastric emptying without mechanical obstruction following a surgical intervention on the stomach or esophagus. It most commonly results from a surgical disruption of the vagal pathways innervating the stomach and pylorus. The symptoms most commonly associated with the syndrome are early satiety, nausea, vomiting, abdominal pain and bloating occurring early after a foregut operation. Classically, PSG developed as a result of a vagotomy for peptic ulcer disease, however in the current era it is more commonly associated with a variety of foregut and thoracic operations. Interestingly, not all patients who undergo truncal vagotomy without a gastric resection or drainage procedure will develop gastroparesis and likewise, some patients with intact vagus nerves can have PSG. It is estimated that 5–10% of patients who undergo intentional or inadvertent vagotomy, and 50% who undergo resection for gastric outlet obstruction, will develop gastroparesis. Although diabetic and idiopathic gastroparesis are more common, cases of PSG present a unique challenge in diagnosis and management. This chapter will review the epidemiology of PSG, clinical characteristics of the disease, and suggest strategies for diagnosis and management." @default.
- W4229969337 created "2022-05-11" @default.
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- W4229969337 date "2021-01-01" @default.
- W4229969337 modified "2023-10-14" @default.
- W4229969337 title "Postsurgical gastroparesis" @default.
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- W4229969337 doi "https://doi.org/10.1016/b978-0-12-818586-5.00019-3" @default.
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