Abstract
The duodenum has been proved to be the most important upper gastrointestinal component, initiating and consolidating phase III activity of the migrating motor complex of the stomach.1 Absence of the duodenum and, therefore, lack of gastric phase III activity represent a major cause of postoperative gastric stasis.2 To our knowledge no case of gastroparesis following retroperitoneal surgery has been reported in the literature. We report on the diagnosis and therapeutic treatment of gastric stasis in a patient undergoing bilateral adrenalectomy and left nephrectomy for large renal cell carcinoma.
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