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Case Report

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

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: June 14, 2012   • Accepted: September 26, 2012

Copyright © 2012 Korean Association of Pediatric Surgeons

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  • 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
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  • 8. Itoh Z, Nakaya M, Suzuki T, Arai H, Wakabayashi K. Erythromycin mimics exogenous motilin in gastrointestinal contractile activity in the dog. Am J Physiol. 1984. 247:G688-G694.
  • 9. Ritz MA, Chapman MJ, Fraser RJ, Finnis ME, Butler RN, Cmielewski P, et al. Erythromycin dose of 70 mg accelerates gastric emptying as effectively as 200 mg in the critically ill. Intensive Care Med. 2005. 31:949-954.
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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.jpg
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.jpg

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Effective Management of Gastropares is with Erythromyc in after Laparoscopic Nissen Fundoplication -A case report-
J Korean Assoc Pediatr Surg. 2012;18(1):30-34.   Published online June 30, 2012
DOI: https://doi.org/10.0000/jkaps.2012.18.1.30
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Effective Management of Gastropares is with Erythromyc in after Laparoscopic Nissen Fundoplication -A case report-
J Korean Assoc Pediatr Surg. 2012;18(1):30-34.   Published online June 30, 2012
DOI: https://doi.org/10.0000/jkaps.2012.18.1.30
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Effective Management of Gastropares is with Erythromyc in after Laparoscopic Nissen Fundoplication -A case report-
Image Image
Fig. 1 Simple abdominal X-ray film shows severe kyphosis and ventriculo-peritoneal shunt catheter in the abdomen. Normal intestinal gas pattern is seen.
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.

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Fig. 2

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