Diagnosis and Treatment of Postoperative Gastroparesis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

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陈海军

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Keywords：

手术; 胃瘫; 诊断; 治疗

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目的总结手术后胃瘫的临床诊治经验。
方法对我院1986～2001年期间上腹部手术后并发胃瘫的31例患者的临床资料进行回顾性分析。
结果手术后胃瘫的临床表现主要为腹胀、呕吐，无明显腹痛，大多数患者肛门排气正常。消化道X线钡餐造影可见胃蠕动差，胃镜检查见吻合口通畅。31例经胃肠减压，营养支持，维持水、电解质代谢平衡，以及用促进胃肠蠕动的药物等非手术治疗均得以缓解。
结论手术后胃瘫的诊断主要依据临床表现; 胃镜检查有其重要价值; 排除机械性梗阻后，应积极采取非手术治疗，不应盲目再次手术。

Citation： 陈海军. Diagnosis and Treatment of Postoperative Gastroparesis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2003, 10(6): 608-609. doi: Copy

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1. BarNatan M, Larson GM, Stephens G, et al. Delayed gastric emptying after gastric surgery [J]. Am J Surg, 1996； 172(1)∶24.
2. 严得庆,李延红,王建伯,等. 腹部手术后胃排空障碍的临床分析 [J].医师进修杂志, 1999； 22(2)∶46.
3. Pottras P, Picard M, Dery R, et al. Evaluation of gastric emptying function in clinical practice [J]. Dig Dis Sci, 1997; 42(11)∶2183.
4. Chen JD, Lin Z, Pan J, et al. Abnormal gastric myoelectrical activity and delayed gastric emptying in patients with symptoms suggestive of gastroparesis [J].Dig Dis Sci, 1996; 41(8)∶1538.
5. 陈绍礼. 胃大部切除术后功能性排空障碍 [J]. 医师进修杂志， 1996； 19(5)∶39.
6. Quigley EM. Gastric and small intestinal motility in health and disease [J]. Gastroenterol Clin North Am, 1996; 25(1)∶113.
7. Eckhauser FE, Conrad M, Knol JA, et al. Safety and longterm durability of completion gastrectomy in 81 patients with postsurgical gastroparesis syndrome [J]. Am Surg, 1998; 64(8)∶711.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment of Postoperative Gastroparesis

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