180例胃转流手术治疗2型糖尿病术后并发症防治体会

目的总结胃转流手术治疗2型糖尿病术后并发症,探讨其防治方法。方法对2012年5月至2014年5月180例接受胃转流手术的2型糖尿病患者术后并发症进行回顾性分析。结果本组患者术后近期并发症总发生率为16.11%(29/180),其中术后胃瘫综合征发生率最高为7.78%(14/180);其次是术后胃出血2.78%(5/180);术后急性左心衰竭2.22%(4/180);术后全身瘙痒2.22%(4/180);术后烟雾病0.55%(1/180);术后切口液化0.55%(1/180)。结论术后胃瘫综合征是胃转流手术后最常见的并发症,其次是术后胃出血,以上并发症如术前采取预防措施、术后采用积极治疗手段均可避免和治愈。

Clinical experience of the prevention of postoperative complications after Roux-en-Y Gastric bypass operation for type 2 Diabetes mellitus,report of 180 cases

Objective To summarize the experience of the prevention of postoperative complications after Roux-en-Y Gastric bypass operation for type 2 Diabetes mellitus . Methods A retrospectively analysis was performed from May 2012 to May 2014, postoperative complications of 180 patients with type 2 diabetes mellitus who received Roux-en-Y Gastric bypass operation . Results The early postoperative complication rate was 16.11% ( 29/180 ), including most common complication of postoperative gastroparesis of 7.78% (14/180), postoperative bleeding of 2.78% (5/180), acute postoperative left heart failure of 2.22% (4/180), postoperative pruritus of 2.22% (4/180), postoperative moyamoya disease of 0.55%(1/180), and postoperative incision fat liquefaction of 0.55% (1/180). Conclusion Postoperative gastroparesis syndrome and bleeding is the most common postoperative complication after Roux-en-Y Gastric bypass treatment for the type 2 diabetes mellitus .All of them could be avoided and cured if we take preventive management and adopt active therapeutic treatment .