Global Medical Research Institute, United States.
Global Medical Research Institute, United States; Indiana University, Bloomington IN, United States.
Complement Ther Med. 2019 Apr;43:289-294. doi: 10.1016/j.ctim.2019.03.004. Epub 2019 Mar 9.
A male infant at two weeks of age was hospitalized vomiting forcefully. He had a pyloromyotomy. He did not improve with medical therapy. The diagnosis of gastroparesis was made after a nuclear medicine gastric emptying study and intestinal manometry. He required a gastrostomy tube (g-tube) and a jejunostomy tube (j-tube) for feeding. At 11 months of age, the j-tube was converted into a feeding jejunostomy with Roux-en-Y limb. For 16 years he was completely dependent on j-tube feeding. In November 2011, he experienced proximal-intercessory-prayer (PIP) at a church and felt an electric shock starting from his shoulder and going through his stomach. After the prayer experience, he was unexpectedly able to tolerate oral feedings. The g- and j-tube were removed four months later and he did not require any further special treatments for his condition as all symptoms had resolved. Over seven years later, he has been free from symptoms. This article investigates a case of PIP as an alternative intervention for resolving severe idiopathic gastroparesis when maximal medical management is not effective.
一名两周大的男婴因剧烈呕吐住院。他接受了幽门肌切开术，但在接受药物治疗后并未好转。在进行核医学胃排空研究和肠道测压后，诊断为胃轻瘫。他需要胃造口管（G 管）和空肠造口管（J 管）进行喂养。11 个月大时，J 管被转换为 Roux-en-Y 分支的喂养空肠造口管。16 年来，他完全依赖 J 管喂养。2011 年 11 月，他在教堂经历了近端-intercessory-prayer（PIP），感觉从肩膀到胃部有电击感。祈祷后，他出人意料地能够耐受口服喂养。四个月后，他移除了 G 管和 J 管，并且由于所有症状都已缓解，他无需再进行任何特殊治疗。七年多后，他一直没有症状。本文探讨了 PIP 作为一种替代干预措施，用于解决最大药物治疗无效的严重特发性胃轻瘫。
