Bodil Ohlsson1. 1. From the Department of Clinical Sciences, Division of Gastroenterology, Entrance 35, 205 02 Malmö, Lund University, Sweden. bodil.ohlsson@med.lu.se
Abstract
BACKGROUND: The normal physiology of the gastrointestinal tract has been only cursorily examined. Consequently, the pathophysiology of disturbances of the gastrointestinal functions is poorly known. Recurrent vomiting is one of many functional conditions for which it is difficult to find an explanation and to treat. In the following a case is described of a patient presenting with recurrent vomiting episodes, whose condition improved spontaneously during pregnancy and breast feeding. CASE PRESENTATION: A woman with recurrent vomiting episodes over several years was examined by esophagogastroduodenoscopy. This showed a non-peristaltic ventricle. Treatment with the procinetic drug cisapride (Prepulsid) improved the peristalsis and reduced the symptoms. During pregnancy and breast feeding, she was free of symptoms, in spite of having discontinued her medication with cisapride (Prepulsid). CONCLUSION: The fact that the patient improved during pregnancy and breast feeding, would seem to indicate the involvement of factors in the physiology of pregnancy and breast feeding that are of importance for gastric motility. This deserves further investigation.
BACKGROUND: The normal physiology of the gastrointestinal tract has been only cursorily examined. Consequently, the pathophysiology of disturbances of the gastrointestinal functions is poorly known. Recurrent vomiting is one of many functional conditions for which it is difficult to find an explanation and to treat. In the following a case is described of a patient presenting with recurrent vomiting episodes, whose condition improved spontaneously during pregnancy and breast feeding. CASE PRESENTATION: A woman with recurrent vomiting episodes over several years was examined by esophagogastroduodenoscopy. This showed a non-peristaltic ventricle. Treatment with the procinetic drug cisapride (Prepulsid) improved the peristalsis and reduced the symptoms. During pregnancy and breast feeding, she was free of symptoms, in spite of having discontinued her medication with cisapride (Prepulsid). CONCLUSION: The fact that the patient improved during pregnancy and breast feeding, would seem to indicate the involvement of factors in the physiology of pregnancy and breast feeding that are of importance for gastric motility. This deserves further investigation.
Authors: Nicola McCord; Paul Ayuk; Melanie McMahon; Richard C A Boyd; Ian Sargent; Christopher Redman Journal: Hypertension Date: 2005-12-12 Impact factor: 10.190
Authors: Rachel J A Helliwell; Jeffrey A Keelan; Keith W Marvin; Linda Adams; Maxwell C Chang; Ashmit Anand; Timothy A Sato; Simon O'Carroll; Tinnakorn Chaiworapongsa; Roberto J Romero; Murray D Mitchell Journal: J Clin Endocrinol Metab Date: 2005-11-15 Impact factor: 5.958