胰十二指肠切除术后并发胃排空障碍临床分析：附28例报告

目的：探讨胰十二指肠切除术后胃排空障碍发生的原因、诊断及治疗方法。方法：回顾14年间136例行经典胰十二指肠切除术后并发胃排空障碍28例患者的临床资料。主要检查方法为上消化道造影、胃镜。结果：136例中并发术后胃排空障碍28例，发生率为20.6%。胃排空障碍发生率与胆红素水平、血糖、十二指肠梗阻、胰瘘及腹腔感染相关。所有病例均经非手术治疗而愈，恢复胃动力时间为14~42d，平均28d。结论：术前高胆红素血症、糖尿病、合并十二指肠梗阻及术后并发胰瘘、腹腔感染者易发生胃排空障碍。

Clinical analysis of functional delayed gastric emptying after pancreatodudenectomy:a report of 28 cases

Objective To study the etiology,diagnosis and treatment of functional delayed gastric emptying(FDGE) resulting from pancreatoduodenectomy.Methods From June,1990~June,2003,136 patients received pancreatoduodenectomy,whose clinical data were retrospectively analyzed.Upper gastrointestinal(radiography) and endoscopy were the main methods of examination.Results Twenty-eight cases were(complicated) with FDGE in the 136 patients(20.6%) after operation.The occurrence of FDGE was(correlated) with hyperbilirubinemia,diabetes,duodenal obstruction,pancreatic fistula and abdominal infection.All patients were cured with conservative treatment.The recovery time of gastric motility was 14-42 days,average time was 28 days.Conclusions Hyperbilirubinemia,diabetes,duodenal obstruction,pancreatic(fistula) and abdominal infection were the main causes of FDGE.