{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T19:01:19Z","timestamp":1784142079034,"version":"3.55.0"},"reference-count":14,"publisher":"Universa BV","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AGEB"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:p>We present a case of marked gastric distension and gastroparesis in a patient with atrial fibrillation who underwent a pulmonary vein isolation, a procedure commonly performed in patients suffering from atrial fibrillation in order to regain sinus rhythm. Two days following the procedure, the patient presented with marked abdominal distension, and computed tomography imaging was consistent with gastroparesis and\/or delayed gastric emptying. A tentative diagnosis of pylorospasm was made. After a first attempt with a conservative approach, gastroscopy with both pyloric dilatation and intra-pyloric botox injection was performed due to persisting discomfort. The symptoms gradually resolved following this intervention. Gastroparesis and gastrointestinal distension is a rare complication following pulmonary vein isolation, and is mainly thought to result from temporary damaging the vagal nerve. Since a rising number of patients undergo an ablation of the pulmonary veins as treatment for atrial fibrillation, gastroenterologists should become aware of this probably not so rare complication.<\/jats:p>","DOI":"10.51821\/85.3.9112","type":"journal-article","created":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T22:13:24Z","timestamp":1668118404000},"page":"531-534","source":"Crossref","is-referenced-by-count":6,"title":["Gastric distension and gastroparesis following pulmonary vein isolation for atrial fibrillation: a case report and review of the literature"],"prefix":"10.51821","volume":"85","author":[{"given":"S","family":"Nullens","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Naegels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Ruytjens","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2022,9]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"HA\u00cfSSAGUERRE M, JA\u00cfS P, SHAH DC, TAKAHASHI A., HOCINI M., QUINIOU G., et al. Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins. The New England journal of medicine, 1998, 339:659-66","DOI":"10.1056\/nejm199809033391003"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"KUCK K.H., BRUGADA J., F\u00dcRNKRANZ A., METZNER A., OUYANG F., CHUN K.R., et al. Cryoballoon or Radiofrequency Ablation for Paroxysmal Atrial Fibrillation. The New England journal of medicine, 2016, 374:2235-45.","DOI":"10.1056\/nejmoa1602014"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"DAGRES N., HINDRICKS G., KOTTKAMP H., SOMMER P., GASPAR T., BODE K., et al. Complications of atrial fibrillation ablation in a high-volume center in 1,000 procedures: still cause for concern? J Cardiovasc Electrophysiol., 2009, 20:1014-9.","DOI":"10.1111\/j.1540-8167.2009.01493.x"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"GUIOT A., SAVOUR\u00c9 A., GODIN B., ANSELME F. Collateral nervous damages after cryoballoon pulmonary vein isolation. J Cardiovasc Electro-physiol., 2012, 23:346-51.","DOI":"10.1111\/j.1540-8167.2011.02219.x"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"BHAT T., BAYDOUN H., ASTI D., RIJAL J., TELI S., TANTRAY M., et al.Major complications of cryoballoon catheter ablation for atrial fibrillation and their management. Expert Rev Cardiovasc Ther., 2014, 12:1111-8.","DOI":"10.1586\/14779072.2014.925802"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"SHAH D., DUMONCEAU J.M., BURRI H., SUNTHORN H., SCHROFT A., GENTIL-BARON P., et al. Acute pyloric spasm and gastric hypomotility: an extracardiac adverse effect of percutaneous radiofrequency ablation for atrial fibrillation. J Am Coll Cardiol., 2005, 46:327-30.","DOI":"10.1016\/j.jacc.2005.04.030"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"KUWAHARA T., TAKAHASHI A., TAKAHASHI Y., KOBORI A., MIYAZAKI S., TAKEI A., et al. Clinical characteristics and management of periesophageal vagal nerve injury complicating left atrial ablation of atrial fibrillation: lessons from eleven cases. J Cardiovasc Electrophysiol., 2013, 24:847-51.","DOI":"10.1111\/jce.12130"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"TSUBOI I., HAYASHI M., MIYAUCHI Y., IWASAKI Y.K., YODOGAWA K., HAYASHI H., et al. Anatomical factors associated with periesophageal vagus nerve injury after catheter ablation of atrial fibrillation. J Nippon Med Sch., 2014, 81:248-57.","DOI":"10.1272\/jnms.81.248"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"AKSU T., GOLCUK S., GULER T.E., YALIN K., ERDEN I. Gastroparesis as a Complication of Atrial Fibrillation Ablation. Am J Cardiol., 2015, 116: 92-7.","DOI":"10.1016\/j.amjcard.2015.03.045"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"KANESHIRO T., MATSUMOTO Y., NODERA M., KAMIOKA M., KAMIYAMA Y., YOSHIHISA A., et al. Anatomical predisposing factors of transmural thermal injury after pulmonary vein isolation. Europace, 2018, 20:1122-8.","DOI":"10.1093\/europace\/eux185"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"KANJ M.H., WAZNI O., FAHMY T., THAL S., PATEL D., ELAYI C., et al. Pulmonary vein antral isolation using an open irrigation ablation catheter for the treatment of atrial fibrillation: a randomized pilot study. J Am Coll Cardiol., 2007, 49:1634-41.","DOI":"10.1016\/j.jacc.2006.12.041"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"MIYAZAKI S., NAKAMURA H., TANIGUCHI H., HACHIYA H., TAKAGI T., IGARASHI M., et al. Gastric hypomotility after second-generation cryoballoon ablation-Unrecognized silent nerve injury after cryoballoon ablation. Heart Rhythm, 2017, 14:670-7.","DOI":"10.1016\/j.hrthm.2017.01.028"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"F\u00dcRNKRANZ A., CHUN K.R., METZNER A., NUYENS D., SCHMIDT B., BURCHARD A., et al. Esophageal endoscopy results after pulmonary vein isolation using the single big cryoballoon technique. J Cardiovasc Electrophysiol., 2010, 21: 869-74.","DOI":"10.1111\/j.1540-8167.2010.01739.x"},{"key":"ref13","unstructured":"GUNDLING F., FUCHS M., SCHEPP W., FOX M. G-POEM in patients with gastroparesis \u2013 gambling for healing or bigger armamentarium? A case series and review of the literature. Acta Gastroenterol Belg., 2020, 83:475-478"}],"container-title":["Acta Gastro Enterologica Belgica"],"original-title":[],"language":"en","deposited":{"date-parts":[[2022,11,10]],"date-time":"2022-11-10T22:13:54Z","timestamp":1668118434000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ageb.be\/ageb-journal\/ageb-volume\/ageb-article\/2045\/Gastric%20distension%20and%20gastroparesis%20following%20pulmonary%20vein%20isolation%20for%20atrialfibrillation:%20a%20case%20report%20and%20review%20of%20the%20literature\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9]]},"references-count":14,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,9]]},"published-print":{"date-parts":[[2022,9]]}},"URL":"https:\/\/doi.org\/10.51821\/85.3.9112","relation":{},"ISSN":["1784-3227"],"issn-type":[{"value":"1784-3227","type":"print"}],"subject":[],"published":{"date-parts":[[2022,9]]}}}