Severe Gastroparesis following Radiofrequency Catheter Ablation for Atrial Fibrillation: Suggestion for Diagnosis, Treatment, and Device for Gastroparesis after RFCA

Abstract EN

Gastroparesis following radiofrequency catheter ablation (RFCA) is a very rare complication, as only two cases have been reported in the English literature.

A 42-year-old man underwent RFCA due to recurrent drug-resistant symptomatic atrial fibrillation.

The patient complained of indigestion and early satiety 2 days after the procedure.

Contrast-enhanced computed tomography and an upper gastrointestinal series of the abdomen showed a large amount of material remaining in the stomach area.

All food material was removed by endoscopy, and the patient received medical treatment.

We suggest a flow chart for diagnosis and treatment of AFGS based on the present case and previous cases.

Endoscopic medical patent was designed on the basis of this case.