Mirtazapine: a solution for postoperative gastroparesis?

BMJ Case Rep. 2009;2009:bcr02.2009.1579. doi: 10.1136/bcr.02.2009.1579. Epub 2009 Aug 17.


This report describes the case of a 52-year-old man with an obstructed para-oesophageal hiatus hernia who required a gastropexy, who postoperatively developed gastroparesis which inadequately responded to conventional prokinetics including erythromycin, metoclopramide, ondansetron, and domperidone. The patient's symptoms were relieved rapidly with a trial of mirtazapine. A review of related literature is presented.