胃大部切除术后功能性排空障碍的诊断及处理

胃大部切除术后功能性排空障碍是一较常见的并发症，本文总结了５５１例胃大部切除病例，发现功能性排空障碍的病例有２０例，占３．６％，作者对２０例病例进行了详细分析，认为胃大部切除术后功能排空障碍产生的原因复杂，胃肠道运动的改变及吻合水肿可能是主要原因，胃肠造影及胃镜对临床诊断和处理帮助很大，治疗上采取非手术方式一般可以治愈因病因多，故应针对不同病因而采取多种措施使症状缓解。其中营养支持治疗非常重要。

Functional delayed gastric emptying after operation: diagnosis and treatment

Functional delayed gastric emptying (FDGE) after gastric surgery is not a seldom complication. We find 20 FDGE patients in 551 patients undergoing subtotal gastrectomy. It occurs in 3.6% of the patients. We analyze the patients data in detail.It suggests that FDGE after gastric surgery is multifactorial, alteration of gastric motility and anastomotic edema may play a main role in the cause of FDGE. An upper gastrointestinal radiography and endoscopy should be obtained. The treatment of FDGE is primarily nonsurgical, it should be based on the causes of FDGF and the nutrient supplying is very important for these patients.