胃大部切除术后残胃功能性排空障碍的诊断及处理

目的 探讨胃大部切除术后残胃功能性排空障碍（FDGE）的可能原因及诊断和治疗方法。方法 分析375例胃大部切除术后发生的12例FDGE患者的临床特点及诊治经过。结果 术前低蛋白血症、贫血及幽门梗阻患者PDGE发生率高，上消化道造影及胃镜检查均参明确诊断，所有病人经保守治疗而治愈。结论 上消化道造影是确诊PDGE、鉴别机械性梗阻的首选方法，FDGE一旦确诊应避免再手术。

Diagnosis and treatment of functional delayed gastric emptying after subtotal gastrectomy

Objective To explore the possible cause of functional delayed gastric emptying (FDGE) and its diagnosis and treatment. Methods Clinical features and processes of treatment were analyzed for 12 cases with FDGE occurred in 375 patients after subtotal gastrectomy. Results FDGE was more frequent in those patients who had a hypoproteinemia, anemia or pyloric obstruction before operation. A definite diagnosis could be made by upper gastrointestinal radiography or gastroscopy. All patients with FDGE were recovered with conservative treatment. Conclusion Upper gastrointestinal radiography is the diagnostic method of first choice for FDGE and differential diagnosis with mechanical ileus. Reoperation should be avoided in case of FEGE.