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