胃大部切除术后残胃功能性排空障碍的诊断及处理.pdfVIP

第 23 卷第 1 期 第 　三 　军 　医 　大 　学 　学 　报 Vol. 23 , No. 1 　　　　 　　　　 114 2001 年 1 月 ACTA 　ACADEMIAE 　MEDICINAE 　MILITARIS 　TERTIAE Jan. 2001 ( ) 论著 文章编号 2001 胃大部切除术后残胃功能性排空障碍的诊断及处理 ( ) 高德山 ,晁宏伟 　　河南省濮阳市人民医院普通外科 ,濮阳 457000 ( ) 　　提 　要 : 目的 　探讨胃大部切除术后残胃功能性排空障碍 FDGE 的可能原因及其诊断和治疗方法。方法 　分析 375 例胃大 部切除术后发生的 12 例 FDGE 患者的临床特点及诊治经过。结果 　术前低蛋白血症、贫血及幽门梗阻患者 FDGE 发生率高 ,上消 化道造影及胃镜检查均能明确诊断 ,所有病人均经保守治疗而治愈。结论 　上消化道造影是确诊 FDGE 、鉴别机械性梗阻的首选方 法 ,FDGE 一旦确诊应避免再手术。 　　关键词 : 胃大部切除术; 胃排空障碍 　　中图法分类号 : R573. 04 ;R656. 61 文献标识码 : A Diagnosis and treatment of functional delayed gastric emptying after subtotal gastrectomy GAO Deshan , CHAO Hongwei (Department of General Surgery , People ’s Hospital of Puyang City , Puyang , Henan Province , 457000 ,China) 　　Abstract : Objective 　To explore the possible cause of functional delayed gastric emptying (FDGE) and its diagnosis and treatment. Methods 　Clinical features and processes of treatment were analyzed for 12 cases with FDGE occurred in 375 patients after subtotal gastrectomy. Results 　 FDGE was more frequent in those patients who had a hypoproteinemia , anemia or pyloric obstruction before operation. A definite diagnosis could be made by upper gastrointestinal radiography or gastroscopy. All patients with FDGE were recovered with conservative treatment. Conclusion 　Upper gastrointestinal radiography is the diagnostic method of first choice for FDGE