胰十二指肠切除术后胃瘫的治疗体会

目的探讨胰十二指肠切除术(pancreaticoduodenectomy,PD)后胃瘫(postoperative gastroparesis syn-drome,PGS)的病因、发生机制及治疗方法。方法回顾性分析7例胰十二指肠切除术后PGS的临床资料及诊疗过程。结果PGS多发生于胰十二指肠切除术后7～14 d,经分阶段营养支持、改善胃肠动力等保守治疗,PGS均在术后4周内消除。结论胰十二指肠切除术后PGS的病因复杂,采取保守支持治疗是治疗胰十二指肠切除术后PGS的有效手段,分阶段营养支持是治疗的重要措施,不宜采用手术治疗。

Therapeutic experiences of postoperative gastroparesis syndrome after pancreaticoduodenectomy

Objecive To explore the etiology, mechanism and treatment of postoperative gastroparesis syn-drome after pancreaticoduodenectomy, Methods Seven patients with postoperative gastroparesis syndrome after pancreaticoduodenectomy treated in our hospital were analyzed retrospectively. Results Postoperative gastro- paresis syndrome usually occurred in 7-14 days postoperatively, By conservative treatments such as phase-es-pecial nutrition support and other therapy for improving gastrointestinal peristalsis, normal gastrointestinal movement was achieved mostly in 4 weeks postoperatively, Conclusion The etiology of postoperative gastro-paresis syndrome after pancreaticoduodenectomy is complex. Staging nutrition support is an important therapy for improving gastrointestinal peristalsis. Postoperative gastroparesis syndrome can be cured by nonsurgical treatment, and re-operation should be avoided.