RT Journal Article
SR Electronic
T1 Ranitidine: forgotten drug of delayed gastric emptying
JF BMJ Supportive & Palliative Care
JO BMJ Support Palliat Care
FD British Medical Journal Publishing Group
SP 255
OP 257
DO 10.1136/bmjspcare-2016-001188
VO 7
IS 3
A1 Abbie E Veevers
A1 Stephen G Oxberry
YR 2017
UL http://spcare.bmj.com/content/7/3/255.abstract
AB Delayed gastric emptying in the presence or absence of mechanical bowel obstruction can cause distressing symptoms in palliative care patients. We present two patients, both with vomiting due to delayed gastric emptying and gastric outlet obstruction secondary to pancreatic cancer, treated with subcutaneous ranitidine resulting in a symptomatic response. We hypothesise that ranitidine is a useful adjunct to standard treatment with prokinetic agents or octreotide in such patients and potentially those with proximal mechanical bowel obstruction from other malignancies with associated delayed gastric emptying.