Gastroparesis in the Setting of Pancreatitis

Brenda from Houston sent us this question: “I recently had an ERCP with stenting since the doctors were suspecting that I had stones in my bile duct. The day after I have a gallbladder surgery. Immediately after, I developed post ERCP pancreatitis. Now, almost 6...

Best Treatment for Gastroparesis?

Best Treatment for Gastroparesis?

Question of The Week from Debbie in Houston: “I have gastroparesis and I am not responding to medication. My GI doctor recommended that I have pyloroplasty done. While I know this will not cure the gastroparesis, what other recommendations do you have to treat it? I...

Gastroparesis following Nissen Fundoplication Surgery

Gastroparesis following Nissen Fundoplication Surgery

Nelson from Houston emailed us this question: “I have been diagnosed with gastroparesis years after Nissen fundoplication surgery for GERD. Would any of these surgical procedures help me at this point. I barely leave the house for fear of needing a bathroom in an emergency”. Dear Nelson, I...

Case of the Week: Recurrent Gastroparesis Symptoms

Jane is a pleasant 51-year-old female with history of idiopathic gastroparesis diagnosed in 2008. She underwent a subtotal gastrectomy with Billroth 2 gastrojejunostomy and insertion of feeding tube jejunostomy in 2009. Post-operatively the patient had difficulty tolerating per-oral diet for about 5 months. She was...

Superior Mesenteric Artery Syndrome, Gastroparesis and GERD

Superior mesenteric artery, SMA, syndrome is a rare disorder. Patients with SMA syndrome, like those with gastroparesis and GERD, present with epigastric pain, bloating, nausea, vomiting and early satiety as well as heartburn and food regurgitation. Symptoms are typically exacerbated by food intake. SMA syndrome is...

Gastroparesis Houston

What Gastroparesis Patients Go Through

Hello Dr. ELIAS DARIDO, Since 2006 my daughter (at that time her weight was about 55 kg) had gastroparesis (vomiting, epigastric pain, weight loss) and GERD grade II. Since that time, she received medical treatments in the form of proton pump inhibitor, prokinetics, antacids but she...

Gastroparesis and Pyloroplasty

I read with great interest the publication in the current issue Surgical Endoscopy by Lee Swanstrom titled “Laparoscopic pyloroplasty is a safe and effective first-line surgical therapy for refractory gastroparesis”. The study includes 177 patients collected from a prospective foregut surgery database. 133 of those...