胃手术后残胃功能排空障碍33例和腹泻的14例诊疗回顾

Gastric Residual Gastric Emptying Disorder 33 Cases after the Operation, and Review the 14 Cases of Diagnosis and Treatment of Diarrhea

目的:探讨在胃大部切除术后发生残胃功能排空障碍和腹泻的原因和诊断、治疗方法。方法:选取2001年10月到2014年5月期间本院收治的胃大部切除术后残胃功能障碍的患者33例,和腹泻的14例。对其临床诊断、治疗资料进行回顾性分析。结果:本组33例胃大部切除术后出现残胃功能障碍均出现在手术后的15天内,经有针对性治疗有22例在20天内恢复正常,有5例在20天到30天恢复正常,有6例在30天后恢复正常。腹泻的14例,近端胃切9例,远端胃切5例,均在进食后3~4天开始腹泻5天内恢复。结论:在胃大切手术后要密切关注患者的胃功能恢复情况,积极采取诊断和非手术治疗,避免对患者再次进行手术治疗。

Objective: To discuss the causes, diagnosis and treatment of diarrhea in most of gastric resection after the residual function of gastric emptying disorder. Method: Select 33 cases of patients of gastric residual stomach dysfunction after most of the resection and 14 cases of diarrhea during October 2001 to May 2014 in our hospital and the clinical diagnosis and treatment data are retrospectively analyzed. Result: Most of this group of 33 cases of gastric resection after the residual stomach dysfunction occurred within 15 days after the surgery. The targeted treatment of 22 cases in 20 days back to normal, 5 cases in 20 to 30 days back to normal, and six cases returned to normal within 30 days. For the 14 cases of diarrhea, 9 cases were proximal partial gastrectomy, while distal gastric resection in 5 cases. They had diarrhea after eating in 3 to 4 days, 5 days began to recover. Conclusion: The cut after gastric surgery patients should pay close attention to the recovery of gastric function, take positive ways to diagnose and have non-surgical treatment, and patients need to avoid surgery again.