Whipple术后功能性胃排空障碍诊治问题的探讨  

Diagnosis and management of delayed gastric emptying after Whipple′s operation

作　　者：周易冬[1] 肖毅[1] 赵玉沛[1] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院普通外科,100730

出　　处：《中华普通外科杂志》2002年第11期671-672,共2页Chinese Journal of General Surgery

摘　　要：目的探讨经典Whipple术后功能性胃排空障碍发生的相关因素和诊治经验。方法回顾性分析 1983年 9月至 2 0 0 1年 8月所行 2 2 6例经典Whipple手术。结果 2 2 6例中 6 2例 (2 7 4% )术后发生功能性胃排空障碍 ,均行保守治疗 ,胃蠕动平均恢复时间为 2 1d ,最长为 48d。结论功能性胃排空障碍的发生与术前糖尿病、消化道梗阻、黄疸 ,术后胰瘘、腹腔感染有关。Objective To investigate the pathogenesis of diagnosis and treatment for delayed gastric emptying(DGE) after pancreaticoduodenectomy(PD).Methods The clinical data of 226 patients admitted between 1983 and 2001 undergoing PD were retrospectively analysed.Results In 226 PD cases DGE was observed in 62 patients(27.4%). Patients with DGE had longer duration of nasogastric tube drainage(21 days vs. 5.6 days).All patients were treated by non-operative methods. The average recovery time was 21 days.Conclusions It is emphasized that DGE has been associated with several factors, including preoperative status of diabetes, bowel obstruction, and jaundice,and postoperative pancreatic fistula, intra-abdominal abscess. Octreotide administration had no relation with the occurrence of DGE.

关 键 词：术后 功能性胃排空障碍 胰头十二指肠切除术 生长抑制素 WHIPPLE术 诊断 治疗 病因 

分 类 号：R656.6[医药卫生—外科学]