Volume : 7, Issue : 4, April - 2018

PPI INDUCED HYPOMAGNESEMIC HYPOKALEMIC ILEUS - A UNIQUE COMPLICATION SEEN AFTER FUNDOPLICATION FOR GERD.

Dr Kaundinya Kiran Bharatam

Abstract :

<p class="MsoNormal">Proton Pump Inhibitors (PPIs) are first line therapy for Gastro Esophageal Reflux Disease (GERD).<span style="mso-spacerun:yes">&nbsp; </span>Although its efficacy remains time trusted, it can present with dyselectrolytemias especially with long term usage.<span style="mso-spacerun:yes">&nbsp; </span>Hypomagnesaemia is a well documented and known such abnormality which can cause symptoms of upper abdominal /chest discomfort and also ileus as in our case presentation.<span style="mso-spacerun:yes">&nbsp; </span>We present a case of GERD which developed such complications after surgery &ndash; laparoscopic fundoplication and caused diagnostic difficulties.<span style="mso-spacerun:yes">&nbsp; </span>Our case presentation highlights the importance of knowing the history of long term PPI use prior to surgery to be aware of the possibility of such electrolyte abnormalities and ensure smooth post operative recovery and decrease patient distress.<span style="mso-spacerun:yes">&nbsp; </span>We also exert importance of such evaluation prior to initiating long term PPI therapy for all patients with GERD.</p>