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Jung, Hwang, Choi, and Park: Effective Management of Gastropares is with Erythromyc in after Laparoscopic Nissen Fundoplication -A case report-
Case Report
Journal of the Korean Association of Pediatric Surgeons

Journal of the Korean Association of Pediatric Surgeons 2012; 18(1): 30-34.

Published online: 30 June 2012

DOI: https://doi.org/10.0000/jkaps.2012.18.1.30

Effective Management of Gastropares is with Erythromyc in after Laparoscopic Nissen Fundoplication -A case report-

Eunyoung Jung, M.D., Jin-Bok Hwang, M.D.1, Soon-Ok Choi, M.D., Woo-Hyun Park, M.D.

Department of Pediatric Surgery, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

1Department of Pediatrics, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Correspondence: Woo-Hyun Park, M.D., Department of Pediatric Surgery, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine, 194 Dongsan-dong, Jung-gu, Daegu 700-712, Korea. Tel: 053)250-7317, Fax: 053)250-7322, whp0903@dsmc.or.kr

Received 14 June 2012       Accepted 26 September 2012

Copyright © 2012 Korean Association of Pediatric Surgeons

Abstract

Delayed gastric emptying (DGE)commonly occurs after Nissen fundoplication in patients with gastroesophageal reflux disease. Since the understanding of its pathogenesis is insufficient, an effective method of management has not yet been suggested. The authors report a case of a 16-year-old girl with DGE after laparoscopic Nissen fundoplication and treated with intravenous injection of low dose erythromycin.

Keywords: Delayed gastric emptying, Fundoplication, Gastroesophageal reflux disease, Erythromyin

Figures and Tables

Fig. 1
Simple abdominal X-ray film shows severe kyphosis and ventriculo-peritoneal shunt catheter in the abdomen. Normal intestinal gas pattern is seen.
jkaps-18-30-g001
Fig. 2
Upper GI series at 14th day of surgery shows poor peristaltic activity of the stomach and delayed passage of barium through the pylorus. B. Upper GI series at 26th day of surgery reveals propulsive peristaltic activity of the antrum with prompt passage of barium through the pylorus to the duodenum immediately on injection of erythromycin.
jkaps-18-30-g002

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