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Journal of Nippon Medical School

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-Case Reports-

Successful Treatment of Gastroparesis with the Antidepressant Mirtazapine: A Case Report

Junmin Song1, Nan Lin2, Feng Tian1, Yang Li3 and Yan Li1

1Department of Gastroenterology, Shengjing Hospital of China Medical University, China
2Department of Radiology, Shengjing Hospital of China Medical University, China
3Department of Intensive Care Unit, Shengjing Hospital of China Medical University, China


Treatments for gastroparesis have been unsatisfactory. We describe a patient with gastroparesis who did not respond to a series of conventional prokinetic treatments. Finally, an antidepressant, mirtazapine, was administered, and the patient's symptoms and gastric emptying showed surprisingly rapid improvement. Therefore, we recommend mirtazapine as a treatment for gastroparesis refractory to conventional treatments.

J Nippon Med Sch 2014; 81: 392-394

Keywords
gastroparesis, mirtazapine, antidepressant

Correspondence to
Junmin Song, Department of Gastroenterology, Shengjing Hospital of China Medical University, No. 36 Sanhao Street, Heping District, Shenyang, Liaoning 110004, People's Republic of China
songdoctor@sina.com

Received, April 1, 2014
Accepted, May 8, 2014