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Suspicion of superior mesenteric artery syndrome in a patient with severe gastric dilatation after catheter ablation. | LitMetric

AI Article Synopsis

  • Catheter ablation is commonly used to treat atrial fibrillation but can cause gastric hypomotility due to damage to the vagus nerve.
  • This gastric issue can lead to severe dilation of the stomach, sometimes requiring hospitalization for affected patients.
  • Previous studies often labeled these conditions as "unknown" or used complex terms, failing to clarify the diagnosis and not providing adequate visual evidence to support their claims.

Article 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.

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Source
http://dx.doi.org/10.2169/internalmedicine.54.3276DOI Listing

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