区域性胰腺切除术后胃瘫21例治疗体会

目的　探讨壶腹周围癌区域性胰腺切除(regionalpancreatectomy ,RP)术后胃瘫(postopertivegastroparesissyndrome ,PGS)的病因、发生机制及治疗方法。方法　回顾性分析2 1例壶腹周围癌RP术后PGS的临床资料及诊疗过程。结果　PGS多发生于RP术后6～14d ;经分阶段营养支持、改善胃肠动力等保守治疗,PGS多在术后4周内消除。结论　RP术后PGS的病因复杂;采取保守支持治疗是治疗RP术后PGS的有效手段,分阶段营养支持是治疗的重要措施;不宜采用手术治疗。

Postoperative gastroparesis syndrome after regional pancreatectomy: treatment analysis of 21 cases

Objective To explore the etiology, mechanism and treatment of postoperative gastroparesis syndrome after regional pancreatectomy for periampullary carcinoma.Methods Twenty-one patients with postoperative gastroparesis syndrome after regional pancreatectomy treated in our hospital were analyzed retrospectively.Results Postoperative gastroparesis syndrome usually occurred during 6-14days postoperatively. By conservative treatments such as phase-especial nutrition support and other therapy for improving gastrointestinal peristalsis, normal gastrointestinal movement was achieved mostly in 4 weeks postoperatively.Conclusion postoperative gastroparesis syndrome is due to multiple factors. Phase-especial nutrition support is important and erythromycin may help in improving gastrointestinal peristalsis. Postoperative gastroparesis syndrome can be cured by nonsurgical treatment, and re-operation should be avoided.