Background: Patients who are hospitalized for a prolonged period are at risk of developing various complications, includingfeeding intolerance resulting from reduced gastrointestinal motility. Prucalopride is one of the drugs used for thetreatment of constipation, and it exerts its effects by increasing intestinal motility through the activation of the 5-HT4receptor.However, no previous study demonstrated whether prucalopride [...]

Case Presentation: A 70 year old man presented with four days of epigastric pain, nausea, vomiting and abdominal distension. He reported 50lbs of weight loss due to decrease in appetite over two months. He denied any hematemesis or melena. Physical exam was unremarkable except for diminished bowel sounds and positive stool guaiac test. CT scan [...]

Case Presentation: A 34-year-old female with history of Systemic Lupus Erythematosus and gastroparesis status post Roux-en-Y gastric bypass (RYGB) surgery, was admitted for intractable nausea and vomiting. CT scan of abdomen and pelvis showed large stool burden. Conservative treatment was implemented. During her hospital course, she developed symptomatic hypoglycemia (blood glucose <40mg/dL), that recurred despite [...]

Case Presentation: A 45 year-old man with no past medical history presented with recurrent nausea, vomiting, and abdominal pain. He had previously been admitted for nausea and vomiting and was diagnosed with gastritis and discharged home with pantoprazole. It initially improved but he began experiencing postprandial nausea and vomiting again 3-4 weeks ago. His intermittent [...]

Case Presentation: A 56-year-old female with invasive lobular carcinoma of the breast, diagnosed 8 years prior and currently on neratinib and capecitabine, presented to her oncologist endorsing abdominal pain, vomiting, nausea, and loss of appetite for several days. Despite anti-emetic therapy, symptoms persisted, and she lost weight over the next 6 weeks. Computed Tomography (CT) [...]

Case Presentation: A 77 year old female who had a diagnosed primary gastric adenocarcinoma at another hospital presented to the emergency department with shortness of breath. A chest x-ray was done which showed a large left-sided pleural effusion (Figure 1). An ultrasoundguided thoracentesis was done and the pleura was positive for metastatic adenocarcinoma, however the [...]

Case Presentation: A 43-year-old male with roux-en-y gastric bypass fourteen years ago with complications and multiple adhesions, hiatal hernia associated with nausea and vomiting, and subsequent small bowel resection last year, started to experience cognitive changes and short-term memory loss. He has also experienced problems with balance, generalized weakness, and unintentional 60-pound weight loss. His [...]

Case Presentation: A 54-year-old female with hypertension, type 2 diabetes, and morbid obesity with Roux-en-Y gastric bypass (RYGB) in 2009 presented to the hospital with abdominal pain and was found to have choledocolithiasis and acute cholecystitis. She was admitted to the surgery service and underwent ERCP and laparoscopic cholecystectomy. Her post-op course was complicated by [...]

Case Presentation: A 53-year-old female with history of Roux-en-y bypass, hypertension, and type 2 diabetes mellitus presented to the emergency department following a mechanical fall. She was found to have a right femoral neck fracture and was admitted for surgical repair. There were no apparent intraoperative complications. Upon arrival to the general care floor shortly [...]

Case Presentation: A 55-year-old obese female presented with daily high fevers, chills, night sweats, malaise, decreased appetite, and nausea for two weeks. Her past medical history is significant for laparoscopic adjustable gastric band (LAGB) surgery eight (8) years prior. On presentation, she was febrile, tachycardic with pallor and hypotensive. Cardiopulmonary and abdominal examination was normal, [...]