Article Text

Novel treatment (new drug/intervention; established drug/procedure in new situation)
Mirtazapine: a solution for postoperative gastroparesis?
  1. Marianne Johnstone,
  2. Pranai Buddhdev,
  3. Michael Peter,
  4. Robert Diggory
  1. Princess Royal Hospital, Apley Castle, Telford TF1 6TF, UK
  1. Marianne Johnstone, mariannejohnstone{at}


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.

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  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication