中国现代医生2009，Vol.47Issue(18)：90-91,95,3.
胃大部切除术后残胃无张力症的诊治体会
Experience in Diagnosis and Treatment of Tension-free Gastric Disease after Subtotal Gastectomy
张应枚1
作者信息
- 1. 湖南省桃江县人民医院普外科,湖南桃江,413400
- 折叠
摘要
Abstract
Objective To investigate the reason,diagnosis and treatment of tension-free gastric disease after subtotal gastrectomy (delayed gastric emptying). Methods To analyze the diagnosis and treatment of 32 cases gastric remnant after resection of gastric emptying in our surgery department from 1990 to 2007. Results Residual postoperative delayed gastric emptying occurred in 4～8d;27 patients were cured with conservative treatment of 8 ～ 24d,13d on average;5 eases of hopelessness were transmitted to conservative treatment surgery and their residues found delayed gastric emptying were related to adhesion,and four eases of omental adhesions and mass oppression anastomotic jejunum were related to output the relevant paragraph. Conclusion Subtotal gastrectomy complicated by delayed gastric emptying residue are functional most of the time,which can be cured by conservative treatment,but if it not yet effective after more than 3 weeks of conservative treatment,the existence of mechanical obstruction should be taken into account,and stomach barium meal(GI) and gastroscopy help diagnosis clearly. Transit operations should be carried out as early as possible.关键词
胃手术/胃大部切除术/残胃排空障碍Key words
Gastric surgery/Subtetal gastrectomy/Delayed gastric emptying分类
医药卫生引用本文复制引用
张应枚..胃大部切除术后残胃无张力症的诊治体会[J].中国现代医生,2009,47(18):90-91,95,3.
