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- Amelia M Wnorowski, Marc S Levine, Stephen E Rubesin, Noel N Williams, and Kristoffel R Dumon.
- Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, United States.
- Clin Imaging. 2018 Jan 1; 47: 118-123.
PurposeTo characterize clinical and radiographic features of a hyperirritable stomach after sleeve gastrectomy.Materials/MethodsRadiology reports revealed that 10/76 patients (13%) with obstructive symptoms after sleeve gastrectomy had a hyperirritable stomach.ResultsAll 10 patients presented with nausea, vomiting, and/or regurgitation. All 10 had emesis on barium studies in the absence of gastric outlet obstruction, gastroparesis, or small bowel obstruction/ileus. Five had extraintestinal causes of nausea/vomiting. Eight had improvement/resolution of symptoms on medical treatment.ConclusionIn 13% of patients with nausea/vomiting after sleeve gastrectomy, barium studies revealed a hyperirritable stomach, which likely is multifactorial and self-limited in most patients.Copyright © 2017 Elsevier Inc. All rights reserved.
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