Delayed gastric emptying after gastrectomy of 28 patients with residual.docVIP

 PAGE \* MERGEFORMAT 7 Delayed gastric emptying after gastrectomy of 28 patients with residual [Keywords:] gastrectomy the remnant stomach emptying Residual gastric emptying after gastrectomy is a complication of early stage, mainly due to residual slow gastrointestinal motility delayed gastric emptying of food. The non-surgical treatment used in all cases to good effect. Summary report below. 1 Data and methods 1.1 General information on our hospital in May 2000 on May -2006 28 patients treated, 18 males and 10 females, aged 23 to 85 years, mean 54.6 years, 19 cases of gastric cancer, 5 cases of gastric ulcer, duodenal ulcer in 4 cases, 28 patients underwent distal gastrectomy, radical gastrectomy D2 10 patients, radical gastrectomy D2 + 5 patients, radical gastrectomy D3 4 cases, 9 cases of gastrectomy alone, Bi gastric 18 cases of intestinal anastomosis, Roux-Y gastrointestinal anastomosis in 10 cases. 4 cases of diabetes before surgery, 2 patients with heart disease .28 recovery of gastrointestinal function after surgery last in liquid diet, 2 ~ 5 d abdominal distention, nausea, , vomit, vomit and bile as Sushi. gastric drainagegt; 800 mL / d, 10 d or more sustained. X-ray barium meal or diatrizoate radiography have different levels of gastric retention, residual gastric dilatation, gastric peristalsis-free or peristaltic weak contrast agent was linear or funnel-shaped anastomosis .25 through routine gastroscopy pass the anastomosis, excluding mechanical obstruction, the other 3 cases of patients without making gastroscopy gastroscopy were 20 .25 cases of anastomotic edema, showed chronic inflammation, mild inflammation in 5 cases. 1.2 The treatment of 28 patients with non-surgical therapy, treatment measures include: fasting, gastrointestinal decompression, hypertonic saline lavage, fluid replacement, total parenteral nutrition support, maintain water and electrolyte balance, the application of gastrointestinal motility disorders drugs.