Severe Gastroparesis After Ablation for Atrial Fibrillation
A 70-year-old man was treated with catheter ablation for symptomatic paroxysmal atrial fibrillation (AF). The treatment consisted of pulmonary vein isolation and radiofrequency ablation of the cavo-tricuspid isthmus line. However, the patient started vomiting two days after ablation. Abdominal radio...
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| Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2020-06, Vol.12 (6) |
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| creator | Tanabe, Junya Shimizu, Ayaka Watanabe, Nobuhide Endo, Akihiro Tanabe, Kazuaki |
| description | A 70-year-old man was treated with catheter ablation for symptomatic paroxysmal atrial fibrillation (AF). The treatment consisted of pulmonary vein isolation and radiofrequency ablation of the cavo-tricuspid isthmus line. However, the patient started vomiting two days after ablation. Abdominal radiography and plain abdominal computed tomography revealed gastric distension and massive accumulation of food residues. Esophagogastroduodenoscopy after fasting for two days revealed no organic stricture; food residues were retained in the stomach but not in the duodenum, suggesting gastroparesis. The most likely mechanism underlying gastroparesis associated with AF ablation is collateral periesophageal vagal nerve injury. Mosapride citrate is considered effective for symptoms. |
| doi_str_mv | 10.7759/cureus.8610 |
| format | Article |
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The treatment consisted of pulmonary vein isolation and radiofrequency ablation of the cavo-tricuspid isthmus line. However, the patient started vomiting two days after ablation. Abdominal radiography and plain abdominal computed tomography revealed gastric distension and massive accumulation of food residues. Esophagogastroduodenoscopy after fasting for two days revealed no organic stricture; food residues were retained in the stomach but not in the duodenum, suggesting gastroparesis. The most likely mechanism underlying gastroparesis associated with AF ablation is collateral periesophageal vagal nerve injury. Mosapride citrate is considered effective for symptoms.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.8610</identifier><identifier>PMID: 32550092</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Abdomen ; Ablation ; Cardiac arrhythmia ; Cardiology ; Case reports ; Catheters ; Esophagus ; Fasting ; Food ; Gastroenterology ; Motility ; Patients ; Stomach ; Tomography ; Veins & arteries</subject><ispartof>Curēus (Palo Alto, CA), 2020-06, Vol.12 (6)</ispartof><rights>Copyright © 2020, Tanabe et al. This work is published under http://creativecommons.org/licenses/by/3.0/ (the “License”). 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The treatment consisted of pulmonary vein isolation and radiofrequency ablation of the cavo-tricuspid isthmus line. However, the patient started vomiting two days after ablation. Abdominal radiography and plain abdominal computed tomography revealed gastric distension and massive accumulation of food residues. Esophagogastroduodenoscopy after fasting for two days revealed no organic stricture; food residues were retained in the stomach but not in the duodenum, suggesting gastroparesis. The most likely mechanism underlying gastroparesis associated with AF ablation is collateral periesophageal vagal nerve injury. Mosapride citrate is considered effective for symptoms.</description><subject>Abdomen</subject><subject>Ablation</subject><subject>Cardiac arrhythmia</subject><subject>Cardiology</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Esophagus</subject><subject>Fasting</subject><subject>Food</subject><subject>Gastroenterology</subject><subject>Motility</subject><subject>Patients</subject><subject>Stomach</subject><subject>Tomography</subject><subject>Veins & arteries</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVkEtLw0AUhQdRbKld-QcCLiX1ziszQRBKsVUouFDXwyS50Slpp84kBf-9KSmiq_s6nHP5CLmmMFNK5ndlF7CLM51ROCNjRjOdaqrF-Z9-RKYxbgCAgmKg4JKMOJMSIGdjcv-KBwyYrGxsg9_bgNHFZF63GJJ50djW-V1S-35og7NNsnRFcM2wvyIXtW0iTk91Qt6Xj2-Lp3T9snpezNdpybRs0woLwIqpKpOyKqngdcaoUhYxB2apAKhVzrnSouQyFzVKsFxkSjGZgQDNJ-Rh8N13xRarEndtsI3ZB7e14dt468z_y859mg9_MIrlQkvWG9ycDIL_6jC2ZuO7sOt_NkxQnXMphOxVt4OqDD7GgPVvAgVzhG0G2OYIm_8AMMVw-Q</recordid><startdate>20200614</startdate><enddate>20200614</enddate><creator>Tanabe, Junya</creator><creator>Shimizu, Ayaka</creator><creator>Watanabe, Nobuhide</creator><creator>Endo, Akihiro</creator><creator>Tanabe, Kazuaki</creator><general>Cureus Inc</general><general>Cureus</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>20200614</creationdate><title>Severe Gastroparesis After Ablation for Atrial Fibrillation</title><author>Tanabe, Junya ; Shimizu, Ayaka ; Watanabe, Nobuhide ; Endo, Akihiro ; Tanabe, Kazuaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c285t-deb0ed27d655dc143f62177aee902a1400f7933784c3594fe50a3467725604083</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Ablation</topic><topic>Cardiac arrhythmia</topic><topic>Cardiology</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Esophagus</topic><topic>Fasting</topic><topic>Food</topic><topic>Gastroenterology</topic><topic>Motility</topic><topic>Patients</topic><topic>Stomach</topic><topic>Tomography</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tanabe, Junya</creatorcontrib><creatorcontrib>Shimizu, Ayaka</creatorcontrib><creatorcontrib>Watanabe, Nobuhide</creatorcontrib><creatorcontrib>Endo, Akihiro</creatorcontrib><creatorcontrib>Tanabe, Kazuaki</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tanabe, Junya</au><au>Shimizu, Ayaka</au><au>Watanabe, Nobuhide</au><au>Endo, Akihiro</au><au>Tanabe, Kazuaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Severe Gastroparesis After Ablation for Atrial Fibrillation</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2020-06-14</date><risdate>2020</risdate><volume>12</volume><issue>6</issue><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>A 70-year-old man was treated with catheter ablation for symptomatic paroxysmal atrial fibrillation (AF). The treatment consisted of pulmonary vein isolation and radiofrequency ablation of the cavo-tricuspid isthmus line. However, the patient started vomiting two days after ablation. Abdominal radiography and plain abdominal computed tomography revealed gastric distension and massive accumulation of food residues. Esophagogastroduodenoscopy after fasting for two days revealed no organic stricture; food residues were retained in the stomach but not in the duodenum, suggesting gastroparesis. The most likely mechanism underlying gastroparesis associated with AF ablation is collateral periesophageal vagal nerve injury. Mosapride citrate is considered effective for symptoms.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><pmid>32550092</pmid><doi>10.7759/cureus.8610</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Abdomen Ablation Cardiac arrhythmia Cardiology Case reports Catheters Esophagus Fasting Food Gastroenterology Motility Patients Stomach Tomography Veins & arteries |
| title | Severe Gastroparesis After Ablation for Atrial Fibrillation |
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