Gastric pacing for severe gastroparesis in a heart-lung transplant recipient.
Gastroparesis is a serious complication of lung and heart-lung transplantation that can lead to malnutrition, gastroesophageal reflux, aspiration pneumonia and deteriorating lung function. Some patients with severe gastroparesis have symptoms that are refractory to dietary modifications and gastric promotility agents and require surgery. We describe the successful use of gastric pacing for the management of intractable gastroparesis, malnutrition and recurrent aspiration in a heart-lung allograft recipient. Lung transplant recipients with severe gastroparesis may benefit from gastric pacing.
Yiannopoulos
Anna
A
Division of Pulmonary and Critical Care Medicine, Stanford University School of Medicine, Stanford, California 94305-5407, USA.
Shafazand
Shirin
S
Ziedalski
Tomasz
T
Berry
Gerald J
GJ
Robbins
Robert C
RC
Theodore
James
J
Faul
John L
JL
D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D018589:Gastroparesis / Q000628:therapy*; D016041:Heart-Lung Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000628:therapy