Prolonged idiopathic gastric dilatation following revascularization for chronic mesenteric ischemia

Authors Julia L. Gauci, Samantha Stoven, Lawrence Szarka, Konstantinos A. Papadakis.


A 71-year-old female presented with nausea, emesis, early satiety, and abdominal distension following revascularization for chronic mesenteric ischemia. Computed tomography angiogram showed gastric dilatation. Esophagogastroduodenoscopy, small bowel follow through, and paraneoplastic panel were negative. Gastric emptying was delayed. Despite conservative management, she required a percutaneous endoscopic jejunostomy. The development of a prolonged gastroparetic state has not been previously described.

Keywords Acute gastric dilatation, chronic mesenteric ischemia, revascularization, prolonged gastroparetic state

Ann Gastroenterol 2014; 27 (3): 273-275

Case Reports