摘要
目的探讨胃大部切除术后残胃功能性排空障碍的病因、诊断及治疗。方法对1992年1月至2005年12月400例胃大部切除术后发生残胃排空障碍的32例病人进行病因及临床分析。结果胃大部切除术后功能性胃排空障碍,发生率为8%,均发生于手术3～14d。所有病例经保守治疗,2～5周内治愈。结论胃大部切除术后功能性胃排空障碍的病因是多因素的。术后胃肠道运动的改变及吻合口水肿可能是主要原因,而高龄、营养不良、水电解质失衡,腹腔感染则是诱因。消化道造影及胃镜检查是诊断本病的重要方法。采取非手术治疗一般均可治愈。应尽量避免再次手术。
Objective To investigate the etiology, diagnosis and treatment of functional delayed gastric emptying （FDGE） after subtotal gastrectomy. Methods 400 patients underwent subtotal gastrectomy from January 1992 to Docember2002 in our hospital, of which 32 patients developed FDGE after operation. Data of the 32 patients were analysed. Results The incidence of FDGE after subtotal gastreetomy was 8%. Usually it occurred between 3 - 14 clays postoperatively, All the patients were cured within 2 -5 weeks with conservative therapy. Conclusion FDGE is associated with many factors. The main causes may he changes in gastric motility and anastomotic stoma edema, Other risk factors include the elderly, malnutrition, water - electrolyte imbalance and peritonitis. Gastrointestinal roentgenographic examonation and endoscopy are important diagnostic methods. FDGE can be cured by conservative treatments, reoperation should be avoided.
出处
《临床和实验医学杂志》
2007年第2期38-39,共2页
Journal of Clinical and Experimental Medicine
关键词
胃大部切除术
残胃排空障碍
Subtolal gastrectomy
Functional delayed gastric emptying （FDGE）
