胃大部切除术后残胃功能性排空障碍的诊断和治疗

目的 探讨胃大部切除术后后功能性排空障碍的发生原因，诊断及治疗。方法 对１９９３－１９９８年施行的２５６例胃大部切除术的临床资料进行回顾性分析。结果 本组共发生功能排空障碍１２例，发生率４．７％，均发生于术后３－１２天。所有病人均经保守治疗治愈出院，８．３３％于１周内治愈，２周内６６．６７％治愈，３周内９１．６７％治愈，所有病人均于３２天之内治愈。结论术后残胃和锭端空肠正常的运动功能破坏是发生功能

Diagnosis and treatment of functional delayed gastric emptying after subtotal gastrectomy. Chen Tao,Zhou Qingxian,Tian Fuzhou.Center of

Objective To investigate the possible causes of functional delayed gastric emptying(FDGE)and its diagnosis and treatment. Methods The clinical data of 256 patients who had subtotal gastrectomy from 1993 to 1998 were retrospectively analysed. Results FDGE occurred in 12 of 256 patients(4^7%)with 3 to 12 days after surgery.All the 12 patients recovered with medical therapy and were discharged.Among the 12 patients with FDGE,8^33% recovered by a week,66^67% by 2 weeks,91^67% by 3 weeks and 100% by 32 days. Conclusion Alteration of gastrointestinal motility may be the main cause of FDGE.An upper gastrointestinal radiography and endoscopy are the important methods of diagnosis of FDGE and differential diagnosis with mechanical ileus.Gastrointestinal motility can return spontaneously after a long period of medical therapy and there is no need for reoperation for gastric stasis.Some prokinetic drugs may have had a beneficial effect on the postoperative gastrointestinal motility.