Botox Injections for Treatment of Diabetic Gastroparesis

A 75 year-old female with diabetic gastroparesis is admitted to the hospital with generalized weakness and N/V for 2 days.

She is not able to tolerate metoclopromide (Reglan).

The GI consultant recommends botulinum toxin (Botox) injections of the pylorus.


Figure 1. Stomach filled with food (left); Botulinum toxin was injected in a 4-quadrant fashion in the pylorus (right).

What is the effect of the procedure on the patient's symptoms?

Read more in Botulinum Toxin Injections for Treatment of Diabetic Gastroparesis. ClinicalCases.org
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3 comments:

  1. Anonymous11/23/2006 6:51 PM

    "My pylorus is wrinkle free!"


    Ok, sorry.

    ReplyDelete
  2. Dominican, md12/02/2006 11:54 AM

    Pylorus relaxation to help with gastric empting.

    ReplyDelete
  3. Anonymous4/20/2013 6:29 PM

    My 25 year old daughter had this done. It has helped for 4 weeks but Im afraid its losing strength. She does joke and say she has the pylorus of an 18 hear old...

    ReplyDelete

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