Subtotal gastrectomy in a teenager with gastroparesis |
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Authors: | Katz S Lazar L Erez I Kaufman Z |
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Affiliation: | Department of Pediatric Surgery, Sapir Medical Center, Meir General Hospital, Kfar Saba, Israel. |
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Abstract: | Disorders of gastric emptying are rare in healthy infants and children. Delayed gastric emptying is encountered in adults after operations on the stomach, such as vagotomy and partial gastrectomy, and is extremely rare in young patients. The authors report on a 15-year-old patient with gastroparesis after three attempts to repair a congenital diaphragmatic hernia. Medical therapeutic trials consisting of all combinations of diet regimes with various gastrokinetic drugs failed to alleviate the intractable vomiting. All the patient's symptoms resolved after subtotal gastrectomy with gastroduodenostomy (Billroth I). |
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