کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4195348 1608925 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Total gastrectomy for rare refractory gastroparesis in patient with syringomyelia: A good impact on quality of life
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Total gastrectomy for rare refractory gastroparesis in patient with syringomyelia: A good impact on quality of life
چکیده انگلیسی


• Syringomyelia is a spinal disorder rarely associated with gastrointestinal dysfunction.
• We present a case of refractory gastroparesis in a female patient with syringomyelia.
• Surgery may be indicated if dietary changes and medical management fails.
• We performed a total gastrectomy with improvement in the patient's quality of life.

Syringomyelia is a chronic progressive disease of the spinal cord. In symptomatic patients, bilateral sensory motor signs and symptoms prevail, moreover they can develop gastrointestinal disorders, although few studies have succeeded in explaining this correlation so far.We report a case of a 67-year-old woman with a history of pain in the back-lumbar spine and lower limbs, paresthesia and urinary incontinence. MRI revealed syringomyelia, extended from T3 to the medullary cone. Neurological picture was worsened by progressive and increasingly debilitating gastrointestinal symptoms refractory to dietary changes and medical treatment. Blood tests, gastrointestinal investigations and imaging were all normal apart from scintigraphy which confirmed delayed gastric emptying. The neurological symptoms disappeared after removal of an hemangioblastoma of the medullary cone. The persistent gastroparesis was treated by total gastrectomy with complete resolution of the patient's gastrointestinal symptoms.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Medicine and Surgery - Volume 4, Issue 4, December 2015, Pages 444–447
نویسندگان
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