A case of severe gastroparesis: indigestion and weight loss after catheter ablation of atrial fibrillation.
We describe a patient with gastroparesis after radiofrequency catheter ablation (RFCA) as a result of vagus nerve injury. A 42-year-old man underwent redo-RFCA due to recurrent drug-resistant symptomatic atrial fibrillation. The patient complained of indigestion and early satiety 2 weeks after the second procedure. There was also weight loss of approximately 5 kg for 2 months. He underwent endoscopy during which food material was noticed. In the upper gastrointestinal series, most contrast material still remained in the stomach on the 2-hour delayed images, suggesting delayed gastric emptying time.
Choi
Suk Won
SW
Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
Kang
Se Hun
SH
Kwon
O Sung
OS
Park
Hyun Woo
HW
Lee
Seungbum
S
Koo
Bon San
BS
Nam
Gi-Byoung
GB
D000328:Adult; D001281:Atrial Fibrillation / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D003287:Contrast Media; D004415:Dyspepsia / Q000000981:diagnostic imaging / Q000209:etiology*; D018589:Gastroparesis / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D011859:Radiography; D012720:Severity of Illness Index; D016896:Treatment Outcome; D061223:Vagus Nerve Injuries / Q000150:complications*; D015431:Weight Loss
D003287:Contrast Media