胃大部切除术后残胃排空功能空障碍16例诊治分析

Treatment Analysis of 16 Case of Functional Deloyes Gastric Emptying after Subtotal Gastrectomy

目的探讨胃大部切除术后残胃排空障碍的病因、诊断和治疗;方法回顾性研究分析从1998.2~2009.5我院诊断为胃大部切除术后残胃排空功能障碍的16例患者;结果所有的患者经过保守治疗10~25天后治愈;结论胃大部切除术后残胃排空功能障碍的主要原因有术后胃排空无力,吻合口水肿;胃肠道造影和内镜检查是重要的诊断方法;胃大部切除术后功能性残胃排空障碍能够通过保守的方式治愈。

Objective To explore the etiology,diagnosis and treatment of functional delayed gastric emptying after subtotal gastrectomy.Methods 16patients with functional delayed gastric emptying treated in our hospital from January 1998to May 2009 were analyzed retrospectively.Results All patients were cured within 10～25days by conservative therapy.Conclusion The main causes for FDGE may be the paralytic changes of gastric motility and anastomotic edema.Gastrointinal radiography and endoscopy are important diagnostic methods.Patients with FDGE can be cured by conservative treatments.