title: Suspicion of superior mesenteric artery syndrome in a patient with severe gastric dilatation after catheter ablation.
abstract: Catheter ablation is a widely used treatment for atrial fibrillation. Gastric hypomotility due to periesophageal vagal plexus injury is a consequence of the extracardiac penetration of ablative energy. Some affected patients develop severe gastric dilatation requiring hospitalization. However, most previous reports have stated the cause of the subject's condition to be "unknown" or described the symptoms using obscure terms, such as "paralytic" or "gastroparesis." For example, one report stated that a few sites of severe gastric dilatation were secondary to "pyloric spasms;" however, no illustrations were provided in the paper. "Superior mesenteric artery syndrome" is a suspected cause of such dilatation.
authors: Department of Gastroenterology, Kimitsu Chuo Hospital, Japan; Department of Gastroenterology and Nephrology, Chiba University Graduate School of Medicine, Japan.
authors: Hidehiro
authors: H
authors: Kamezaki
authors: Ryosaku
authors: R
authors: Azemoto
authors: Osamu
authors: O
authors: Yokosuka
authors: Tatsuya
authors: T
authors: Fujimoto
authors: Masamichi
authors: M
authors: Obu
authors: Masahiko
authors: M
authors: Saito
authors: Yu
authors: Y
authors: Yoshida
authors: Yoshihiro
authors: Y
authors: Koma
authors: Hitoshi
authors: H
authors: Maruyama
authors: Mototsugu
authors: M
authors: Fujimori
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000150:complications / Q000601:surgery*; D017115:Catheter Ablation / Q000009:adverse effects*; D013271:Gastric Dilatation / Q000209:etiology / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013478:Superior Mesenteric Artery Syndrome / Q000473:pathology*; D016896:Treatment Outcome