دورية أكاديمية
أعرض في EDS

Treatment of gastric paralysis after gastric schwannoma by electroacupuncture: A case report and literature review.

التفاصيل البيبلوغرافية
العنوان: Treatment of gastric paralysis after gastric schwannoma by electroacupuncture: A case report and literature review.
المؤلفون: Huang Y; School of Acupuncture and Moxibustion, Fujian University of Traditional Chinese Medicine, China., Huang Y; School of Acupuncture and Moxibustion, Fujian University of Traditional Chinese Medicine, China., Jin H; Department of Rehabilitation, Xiamen Hospital of Traditional Chinese Medicine, China. Electronic address: 13066081@qq.com., Pei X; President of Xiamen Hospital of Traditional Chinese Medicine, China.
المصدر: Explore (New York, N.Y.) [Explore (NY)] 2024 Jul-Aug; Vol. 20 (4), pp. 592-596. Date of Electronic Publication: 2023 Nov 21.
نوع المنشور: Case Reports; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Country of Publication: United States NLM ID: 101233160 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1878-7541 (Electronic) Linking ISSN: 15508307 NLM ISO Abbreviation: Explore (NY) Subsets: MEDLINE
أسماء مطبوعة: Original Publication: New York, NY : Elsevier, c2005-
مواضيع طبية MeSH: Gastroparesis*/therapy , Gastroparesis*/etiology , Electroacupuncture*/methods , Stomach Neoplasms*/complications , Neurilemmoma*/complications , Neurilemmoma*/therapy , Gastrectomy*/adverse effects , Postoperative Complications*/therapy , Postoperative Complications*/etiology, Humans ; Female ; Adult ; Gastric Emptying
مستخلص: Objective: We identified the potential role of electroacupuncture (EA) as an alternative therapy to traditional Chinese medicine (TCM) in a rare case of postoperative gastroparesis after gastric schwannoma (GS).
Clinical Presentation: A 31-year-old woman presented with impaired gastric emptying after gastrectomy for GS and was diagnosed with postoperative gastroparesis syndrome (PGS). The symptoms were slightly relieved after routine placement of the jejunal tube; however, symptoms such as dietary intolerance and impaired gastric emptying persisted. After the consultation, the patient agreed to undergo EA therapy.
Intervention and Results: The patient was able to tolerate oral intake after seven days of EA treatment, and the frequency and amount of food intake increased. The jejunal tube was removed at the outpatient follow-up two weeks after discharge, and the patient resumed a semi-liquid diet and was able to eat small amounts of rice. Reexamination of the upper digestive tract angiography showed that part of the contrast agent passed through the pyloric sinus, which showed improvement.
Conclusion: EA stimulation increased tolerance to transoral feeding in patients with postoperative gastroparesis and facilitated the passage of contrast agents through the pyloric sinus. No adverse effects were observed during treatment, and the treatment was well accepted and tolerated by patients. A review article noted the benefits of acupuncture for gastrointestinal disorders but lacked high-quality evidence to support this. 1 Therefore, the therapeutic role of EA needs to be further elucidated to provide high-quality evidence-based medical evidence for its clinical use.
(Copyright © 2023. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Delayed gastric emptying; Electroacupuncture; Gastric schwannoma; Postoperative gastroparesis syndrome; Vagus nerve
تواريخ الأحداث: Date Created: 20231126 Date Completed: 20240614 Latest Revision: 20240621
رمز التحديث: 20240621
DOI: 10.1016/j.explore.2023.11.009
PMID: 38008591
قاعدة البيانات: MEDLINE
الوصف
تدمد:1878-7541
DOI:10.1016/j.explore.2023.11.009