胃术后残胃功能性排空障碍的诊治

目的探讨胃部分或大部切除术后残胃功能性排空障碍（functional delayed gastric emptying，FDGE）的发生机制、诊断及其治疗方法。方法回顾性总结25例施行不同程度胃切除术而产生FDGE的患者。对其临床表现、诊断手段和治疗方法进行分析。结果所有25例患者均经保守治疗痊愈，术后胃动力恢复时间为13～38d，平均为25．5d，都能进半流质饮食后出院，无1例再手术。结论FDGE的诊断主要依靠临床表现，胃镜、胃肠X线动态检查对FDGE的诊断有重要的价值；胃镜检查通过对胃壁的适度刺激对FDGE的治疗有一定的作用。

Objective To investigate the possible mechanisms of functional delayed gastric emptying（FDGE）and its diagnosis and treatment. Methods After partial or subtotal gastrectomy, 25 patients with FDGE were summaried retrospectively, including their clinical manifestations, diagnosis and treatment. Results By conservative measures, all the 25 cases recovered with 13 to 38 days after surgery, on the average of 25.5 days. In the end they were discharged without operation. Conclusion The diagnosis of FDGE primarily depends on their clinical manifestations. An upper gastrointestinal radiography and endoscopy are the important methods of diagnosis of FDGE; Moderate stimulation with gastroscopy is helpful in the trcatment of FDGE.