残胃排空延迟征的诊断和治疗  

Diagnosis and treatment of functional delayed gastric emptying after subtotal gastrectomy

作　　者：赵海[1] 张亘[1] 

机构地区：[1]辽宁省抚顺矿业集团总医院肛肠科,113008

出　　处：《消化外科》2005年第2期97-99,共3页Journal of Digestive Surgery

摘　　要：目的探讨胃大部切除术后胃功能性排空延迟征的病因、诊断及治疗.方法对1999年1月至2003年12月收治的8例胃术后残胃功能性排空延迟征的临床资料进行回顾性分析.结果功能性胃排空延迟征均发生于胃术后3～10 d.7例经非手术治疗于术后14～36 d恢复胃动力,1例再手术.3周内治愈4例,4周内治愈6例.结论术后胃肠运动的改变及吻合口水肿可能是胃排空延迟的主要原因,而营养不良、水电解质失衡、腹腔感染则是诱因.胃肠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可治愈.Objective To explore the etiology, diagnosis and treatment of functional delayed gastric emptying (FDGE) after subtotal gastrectomy. Methods Clinical data of 8 patients with FDGE treated in our hospital from Jan 1999 to December 2003 were analyzed retrospectively. Results FDGE usually occurred during postoperative 3～10 days. The gastric function of 7 patients who received non-operative therapy restored during 14～36 days postoperatively. One patient received re-operation. Four cases recovered in three weeks. Six cases were cured in four weeks. Conclusions The main causes for FDGE maybe the changes of gastric motility and stoma edema of anastomotic, while the risk factors are the malnutrition, water-electrolyte imbalance, and peritonitis. Gastrointestinal radiography and endoscopy are important diagnostic methods. Patients with FDGE can be cured by conservative treatments.

关 键 词：胃大部切除术 功能性排空延迟 诊断 治疗 

分 类 号：R656.6[医药卫生—外科学]