Whipple术后功能性胃排空障碍诊治问题的探讨

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2001年8月所行226例经典Whipple手术。结果：226例中62例(27．4％)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2ld，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。术后应用生长抑素不会增加发生胃排空障碍的危险性。

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

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.