便秘术后胃排空障碍及肠内营养支持治疗的应用  

Application of enteral nutrition support in functional delayed gastric emptying after operation for constipation patients

作　　者：龚龙波[1] 吕孝鹏[1] 孟良[1] 谢志远[1] 徐玉振[1] 

机构地区：[1]东南大学医学院附属徐州医院胃肠外科,徐州221009

出　　处：《中华普通外科学文献（电子版）》2013年第5期29-31,共3页Chinese Archives of General Surgery(Electronic Edition)

摘　　要：目的探讨便秘术后胃排空功能障碍（FDGE）的原因及肠内营养支持治疗的作用。方法回顾性分析2008年7月至2013年3月80例重度功能性便秘患者的临床资料，患者行结肠次全切除联合改良Duhamel术，术后发生FDGE者进行肠内营养支持等保守治疗。结果80例重度功能性便秘患者术后有13例发生FDGE，发生率为16．25％，其中9例耐受全肠内营养治疗，4例辅助外周静脉营养支持。保守治疗后7～43d后好转。结论功能性消化不良可能是便秘患者术后发生胃排空功能障碍的主要原因，肠内营养支持在治疗胃排空功能障碍中起主要作用。Objective To find out the application of enteral nutrition in the treatment of functional delayed gastric emptying （FDGE） after operation of constipation. Methods Eighty patients with severe functional constipation received laparoscopie assisted subtotal eolectomy combined with modified Duhamel procedure from July 2008 to March 2013 were retrospectively analyzed. The postoperative patients with FDGE received conservative treatment with enteral nutrition support. Results Of the 80 patients with severe functional constipation, 13 had postoperative FDGE, the incidence being 16.25%. Nine cases were treated with total enteral nutrition and 4 cases combined with parenteral nutrition support. The patients were cured within 7-43 days. Conclusions The main cause for FDGE after operation of constipation may be the functional dyspepsia. Enteral nutrition support plays a main role in the treatment of FDGE.

关 键 词：重度功能性便秘 外科手术 胃排空功能障碍 功能性消化不良 

分 类 号：R657.1[医药卫生—外科学]