胃癌术后胃瘫的诊断和治疗

Diagnosis and Treatment of Postoperative Gastroparesis for Gastric Cancer

以胃排空延迟为主要症状的综合征一般称之为胃瘫,其中腹胀、恶心和呕吐是胃轻瘫的主要症状。胃瘫的病因一般比较复杂,对患者的生活质量也会有很大的影响,还会延长住院时间,从而导致病床周转的速率变缓,进而加重医疗资源的消耗,因此患者的经济负担一般都比较重。在胃瘫中,特发性胃轻瘫是最常见的胃排空障碍,约占36%,其次是糖尿病(29%)和术后胃排空障(13%),本文聚焦于胃癌术后导致胃瘫的危险因素以及诊断和治疗。

The syndrome with delayed gastric empty is commonly referred to as gastroparesis, in which ab-dominal distention, nausea and vomiting are the main symptoms of gastroparesis. The etiology of gastroparalysis is generally complex, which will also have a great impact on the quality of life of pa-tients. It will also prolong the length of hospital stay, which will slow down the rate of bed turnover and increase the consumption of medical resources. Therefore, the economic burden of patients is generally heavy. In gastric palsy, idiopathic gastroparesis is the most common gastric emptying disorder, accounting for 36%, followed by diabetes mellitus (29%) and postoperative gastric emp-tying disorder (13%). This article focuses on the risk factors, diagnosis and treatment of postopera-tive gastric palsy.