食管癌、贲门癌术后胸胃功能排空障碍的诊断与治疗体会

Diagnosis and Treatment of Delayed Gastric Emptying after the Operation of Carcinoma of Esophagus and Gastric Cardia

目的 探讨食管、责门癌术后功能性胃排空障碍的病因、诊断与治疗方法。方法 回顾性分析280例食管癌、责门癌术后的临床资料。结果 18例出现功能性胸胃排空障碍，非手术治疗5～21d后全部治愈；如为机械性胃排空障碍应及时手术治疗。结论 食管癌、责门癌术后胃功能排空障碍是由综合因素引起的，通过上消化道造影及胃镜检查可以明确诊断，治疗上采取非手术综合治疗。

Objective To explore the etiology,diagnosis and treatment of functional delayed gastric emptying（FDGE） after the operation of carcinoma of esophagus and gastric cardia. Methods Clinial data of 280 patients with FDGE after the operation of carcinoma of esophagus and gastric cardia were analyzed retrospectively. Results All of the 18 patients with FDGE were treated by conservative therapy and were cured during 5 ～21 days; Patients with perfunctory FDGE should receive operations. Conclusions Causes for FDPGE may be multifaceted, Diagnosis was confirmed by gastric opacification and gastroscopy. Patients with FDPGE can be cured by combined treatments.