선택한 단어 수는 입니다.
최소 단어 이상 선택하여야 합니다.
최소 단어 이상 선택하여야 합니다.
선택한 단어 수는 30입니다.
최대 10 단어까지만 선택 가능합니다.
최대 10 단어까지만 선택 가능합니다.
제안 방법
- All patients underwent follow-up esophagogastroduodenoscopy at a median of 38 days after botulinum toxin injection (range, 6–148 days).
- Two patients received additional botulinum toxin injections. One patient underwent one additional procedure due to a recurrence of symptoms, such as nausea and vomiting 5 months after the first botulinum toxin injection. The other patient showed little (grade 1) to no residual remnant food in 6 monthly endoscopic examinations after botulinum toxin injection; however, he strongly desired to receive repeated botulinum toxin injection due to indigestion recurrence at 6 months after each botulinum toxin injection.
- In the future, a prospective study including a larger number of patients is needed to evaluate the efficacy of botulinum toxin. Second, the effect of botulinum toxin injection on gastric stasis was evaluated semi-quantitatively, based on the improvement of symptoms, diet grade, and endoscopic findings. A gastric emptying study as an objective evaluation method was not conducted.
- The GOOSS score improved in all patients, and 5 of them were able to consume a soft solid diet within 10 days after the procedure. To our knowledge, this study is the first to report the use of botulinum toxin to alleviate delayed gastric emptying after PPG.
- The Gastric Outlet Obstruction Scoring System (GOOSS) was used to assess the severity of symptoms before and after botulinum toxin injection as follows: 0) no oral intake; 1) only liquid diet; 2) soft solid diet; and 3) low residue or full diet [10,11]. We checked the GOOSS score of each patient before and 10 days after the procedure and at every outpatient clinic visit. Improvements in delayed gastric emptying were defined as the relief of gastric outlet obstruction symptoms or improvement in the GOOSS score 10 days after the procedure.
- We retrospectively reviewed the outcome of this procedure using medical records and telephone interviews. The Gastric Outlet Obstruction Scoring System (GOOSS) was used to assess the severity of symptoms before and after botulinum toxin injection as follows: 0) no oral intake; 1) only liquid diet; 2) soft solid diet; and 3) low residue or full diet [10,11].
대상 데이터
- 9% normal saline solution) was injected into the 4 quadrants of the prepyloric area (within 1 cm of the pyloric channel) after the sclerotherapy needle tip was buried firmly into the gastric wall. These procedures were performed by 3 expert endoscopists (Fig. 1).
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