Successful Medical Management of Pediatric Gastroparesis (Case Report)

Mashal Ahmed, Janice Wong, Anas Shikha

Pediatric Surgery Unit, Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital, Brunei Darussalam.

Keywords

Abdominal distension

Domperidone

Erythromycin

Gastrointestinal paralysis

Gastroparesis

Intestinal motility disorder

Prokinetic agents

Abbreviations

EA - Esophageal atresia

POD - post-operative day

TEF - Tracheo-esophageal fistula

Abstract

Pediatric gastroparesis is characterized by delayed gastric empyting in the absence of any mechanical obstruction. This case report describes the successful use of domperidone and erythromycin in managing refractory gastroparesis in a 7-yearold girl. Owing to its rarity and shared symptomatology with other common gastrointestinal conditions, the diagnosis of gastroparesis is often delayed. In resourcelimited centers without scintigraphy, the diagnosis may be made based on the clinical features and contrast radiography