胃大部切除术后残胃胃瘫综合征临床分析

Remnant stomach after subtotal gastrectomy gastroparesis syndrome analysis

目的探讨胃大部切除术后残胃胃瘫综合征(PGS)的病因、诊断及治疗。方法对20例胃大部切除术后发生胃瘫综合征的发病因素、临床表现、诊断方法及治疗手段进行分析。结果术前流出道梗阻和胃肠吻合方式是术后PGS的高危因素。胃镜、X线口服造影对PGS的诊断有价值。经非手术治疗,术后PGS在术后6周内一般可以恢复。结论胃大部切除术后残胃胃瘫综合征在术前流出道梗阻、胃肠毕Ⅱ式吻合的病人中发病率较高,患者经过6周的非手术治疗后,多数可以缓解恢复,从而避免了二次手术的痛苦。

Objective To investigate the remnant stomach after subtotal gastrectomy gastroparesis syndrome （PGS） the etiology, diagnosis and treatment. Methods 20 cases occurred after subtotal gastrectomy gastroparesis syndrome risk factors, clinical presentation, diagnosis and treatment were analyzed. Results The preoperative outflow tract obstruction and gastrointestinal anastomosis is a risk factor for postoperative PGS. Endoscopy, x - ray diagnosis of oral contrast value of PGS. Non - surgical treatment, after 6 weeks after PGS in general can be restored. Conclusion The remnant stomach after subtotal gastrectomy gastroparesis syndrome in the preoperative outflow tract obstruction, gastrointestinal Billroth Ⅱ anastomosis in patients with a higher prevalence of patients after 6 weeks of non - surgical treatment, most can ease the recovery, thus avoiding the pain of the second surgery.