| 远端胃大部切除术后胃排空延迟低发生率分析 |
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| 引用本文： | 李世宽,周岩冰,于冠君.远端胃大部切除术后胃排空延迟低发生率分析[J].青岛大学医学院学报,2003,39(3):263-264,267. |
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| 作者姓名： | 李世宽 周岩冰 于冠君 |
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| 作者单位： | 青岛大学医学院附属医院普外科,山东,青岛,266003 |
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| 摘 要： | ①目的 探讨远端胃大部切除术后胃排空延迟发生的可能机制。②方法 回顾性分析200例胃癌远端胃大部切除术的手术方式及术后处理方法。③结果 手术后病人胃排空延迟发生率为0。④结论 远端胃大部切除术后胃排空延迟发生的可能机制是术后早期炎性残胃及胃肠吻合口周围梗阻，胃癌手术方式的变化和术后营养支持是胃排空延迟发生率降低的主要原因。
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| 关 键 词： | 胃肿瘤 胃切除术 胃排空延迟 并发症 手术方式 |
| 文章编号： | 1672-4488(2003)03-0263-03 |
AN ANALYSIS OF LOW INCIDENCE OF DELAYED GASTRIC EMPTYING FOLLOWING DISTAL SUBTOTAL GASTRECTOMY |
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| LI Shi kuan,ZHOU Yan bing,YU Guan jun \.AN ANALYSIS OF LOW INCIDENCE OF DELAYED GASTRIC EMPTYING FOLLOWING DISTAL SUBTOTAL GASTRECTOMY[J].Acta Academiae Medicinae Qingdao Universitatis,2003,39(3):263-264,267. |
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| Authors: | LI Shi kuan ZHOU Yan bing YU Guan jun \ |
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| Abstract: | Objective\ To study possible mechanisms of delayed gastric emptying after distal subtotal gastrectomy. Methods\ The surgical methods and postoperative management of 200 patients underwent distal gastrectomy for carcinoma of the stomach were analyzed retrospectively.\ Results\ No patients had been found to have delayed gastric emptying in this study. Conclusion\ A possible mechanism of delayed gastric emptying after distal subtotal gastrectomy is postoperative inflammation of the gastric remnant and obstruction surrounding the stoma . An improvement of operation and postoperative nutrition support are principal factors to decrease delayed gastric emptying. |
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| Keywords: | stomach neoplasmas gastrectomy delayed gastric emptying complications |
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