A Case of Intractable Vomiting After Distal Gastrectomy Treated with Bakumondoto
10.3937/kampomed.66.45
- VernacularTitle:胃切除術後難治性嘔吐を大逆上気ととらえて麦門冬湯を投与した1例
- Author:
Tetsuhiro YOSHINO
;
Yoshimasa SHIMIZU
;
Tetsuo AKIBA
;
Kenji WATANABE
- Publication Type:Journal Article
- Keywords:
bakumondoto;
gastrectomy;
intractable vomiting
- From:Kampo Medicine
2015;66(1):45-48
- CountryJapan
- Language:Japanese
-
Abstract:
There have been few reports on an antiemetic effect of bakumondoto. An 84 year old man was referred to the department of internal medicine for Kampo treatment of intractable vomiting since having a gastrectomy 6 years previously. He had experienced persistent regurgitation of gastric fluids at dawn and antiemetic and antiacid drugs were of little help. He had had a gastrojejunostomy 4 years previously for an intestinal obstruction. After the gastrojejunostomy, vomiting persisted despite of the administration of antiacids, rikkunshito or daikenchuto. Physical examination revealed only slight edema of the legs. An upper gastrointestinal series, blood tests and head CT scan revealed no specific vomiting cause. After referral to our department, we tried hangeshashinto, and shinbuto in vain. Then we prescribed bakumondoto. He reported that the frequency of his vomiting reduced in 3 weeks, and that the vomiting disappeared in 2 more weeks. Thus we consider that not only cough but also vomiting can be treated with bakumondoto.
