High-Amplitude Gastric Contractions following Laparoscopic Sleeve Gastrectomy

A proportion of laparoscopic sleeve gastrectomy patients experience symptoms of regurgitation and epigastric pain postoperation. The appearance of gastric sleeve contractions has been documented but its implications have not been adequately investigated. This case describes a 61-year-old female foll...

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Main Authors: Jerry Zhou, Carolyn Jameson, Vincent Ho
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2019/7457361
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author Jerry Zhou
Carolyn Jameson
Vincent Ho
author_facet Jerry Zhou
Carolyn Jameson
Vincent Ho
author_sort Jerry Zhou
collection DOAJ
description A proportion of laparoscopic sleeve gastrectomy patients experience symptoms of regurgitation and epigastric pain postoperation. The appearance of gastric sleeve contractions has been documented but its implications have not been adequately investigated. This case describes a 61-year-old female following laparoscopic sleeve gastrectomy. The patient underwent high-resolution impedance esophageal manometry that identified compartmentalized pressurization leading to propagating contractions throughout the gastric sleeve. Combined treatment with calcium channel blockers and gastric sleeve dilation relieved all symptoms. This case highlights the application of high-resolution impedance esophageal manometry to assess motor function and bolus transit in patients following laparoscopic sleeve gastrectomy.
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spelling doaj-art-472dfd4cb77f4c0eb7b689e6d9378cf72025-02-03T01:29:09ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/74573617457361High-Amplitude Gastric Contractions following Laparoscopic Sleeve GastrectomyJerry Zhou0Carolyn Jameson1Vincent Ho2School of Medicine, Western Sydney University, Sydney, AustraliaSydney Bariatric Clinic, Penrith, AustraliaSchool of Medicine, Western Sydney University, Sydney, AustraliaA proportion of laparoscopic sleeve gastrectomy patients experience symptoms of regurgitation and epigastric pain postoperation. The appearance of gastric sleeve contractions has been documented but its implications have not been adequately investigated. This case describes a 61-year-old female following laparoscopic sleeve gastrectomy. The patient underwent high-resolution impedance esophageal manometry that identified compartmentalized pressurization leading to propagating contractions throughout the gastric sleeve. Combined treatment with calcium channel blockers and gastric sleeve dilation relieved all symptoms. This case highlights the application of high-resolution impedance esophageal manometry to assess motor function and bolus transit in patients following laparoscopic sleeve gastrectomy.http://dx.doi.org/10.1155/2019/7457361
spellingShingle Jerry Zhou
Carolyn Jameson
Vincent Ho
High-Amplitude Gastric Contractions following Laparoscopic Sleeve Gastrectomy
Case Reports in Surgery
title High-Amplitude Gastric Contractions following Laparoscopic Sleeve Gastrectomy
title_full High-Amplitude Gastric Contractions following Laparoscopic Sleeve Gastrectomy
title_fullStr High-Amplitude Gastric Contractions following Laparoscopic Sleeve Gastrectomy
title_full_unstemmed High-Amplitude Gastric Contractions following Laparoscopic Sleeve Gastrectomy
title_short High-Amplitude Gastric Contractions following Laparoscopic Sleeve Gastrectomy
title_sort high amplitude gastric contractions following laparoscopic sleeve gastrectomy
url http://dx.doi.org/10.1155/2019/7457361
work_keys_str_mv AT jerryzhou highamplitudegastriccontractionsfollowinglaparoscopicsleevegastrectomy
AT carolynjameson highamplitudegastriccontractionsfollowinglaparoscopicsleevegastrectomy
AT vincentho highamplitudegastriccontractionsfollowinglaparoscopicsleevegastrectomy