Journal article
Swallow-induced syncope after magnetic sphincter augmentation: a case report and physiologic explanation
Clinical journal of gastroenterology, v 14(5), pp 1318-1323
01 Oct 2021
PMID: 34053004
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Swallow-induced syncope is a rare cause of syncope that occurs during or immediately after swallowing. This phenomenon has been reported in association with few esophageal pathologies and the likely explanation is a vagal reflex during deglutition that results in inhibition of the cardiac conduction system. This report describes a case of swallow-induced syncope related to the implantation of a magnetic sphincter augmenting (MSA) device. Two episodes of syncope after food bolus occurred with the device in place and upon removal of the device, the patient had no further episodes of syncope. Vagal stimulation from distention of the esophagus or vagus nerve contact irritation by the implant are the potential explanation for syncope in this patient. Although this is an extremely rare complication of magnetic sphincter device augmentation, it is one that physicians should be cognizant of given the dangers of syncope events.
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Details
- Title
- Swallow-induced syncope after magnetic sphincter augmentation: a case report and physiologic explanation
- Creators
- Mathew R. Smith - Allegheny Hlth Network, Esophageal Inst, Allegheny Hlth Network,4815, Pittsburgh, PA 15224 USAShahin Ayazi - Allegheny Health NetworkAndrew D. Grubic - Allegheny Health NetworkXinxin Shen - Allegheny Health NetworkBlair A. Jobe - Allegheny Health Network
- Publication Details
- Clinical journal of gastroenterology, v 14(5), pp 1318-1323
- Publisher
- Springer Nature
- Number of pages
- 6
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000655953500001
- Scopus ID
- 2-s2.0-85107012586
- Other Identifier
- 991022048293904721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Gastroenterology & Hepatology