Enteral nutrition in postoperative thoracic gastric emptying in functional treatment.docVIP

 PAGE \* MERGEFORMAT 9 Enteral nutrition in postoperative thoracic gastric emptying in functional treatment Of: Xu twin towers, Xu JH, Heya Li, Ye K, Zheng Zhengrong [Keywords:] enteral nutrition, esophageal cancer, gastric diseases, gastric emptying, postoperative complications Syndrome is delayed gastric emptying in the early postoperative complication of gastric emptying of its main feature is, it is also called delayed gastric emptying disorders. The event, significantly increased the suffering of patients, the increase of hospital days and hospital costs. The author summarizes 15 cases of delayed gastric emptying after esophagectomy clinical syndrome and to discuss their treatment, reported as follows. 1 Clinical data 1.1 General Information Collected in January 2001 -2008 cases of esophageal cancer surgery in December of 1 256 cases were implemented transthoracic esophageal resection, surgery is the main form of esophageal cancer through left radical mastectomy, radical surgery for esophageal cancer through left left common carotid and three cuts by the neck thoracoabdominal esophageal resection, postoperative functional gastric emptying chest syndrome in 15 cases, 6 males and 9 females, median age 62.9 years (52 to 78 years .15 cases all occurred after 7 ~ 12 d, the removal of gastric tube after 2 ~ 3 d chest tightness, hiccups, vomiting and other symptoms, vomit, Chen plot of stomach contents, reset the stomach, the gastrointestinal decompression drainage weregt; 600 mL. TNM stage: T3 8 , T2 4 , T1 3 cases. esophageal cancer in 8 patients, esophageal in 7 cases. which left chest left common carotid of esophageal cancer by radical surgery and esophageal stomach and left neck anastomosis in 3 cases, radical operation of esophageal cancer through left pleural top esophagogastric anastomosis in 4 cases, three cuts by the neck thoracoabdominal esophageal resection in 8 cases. None received radiation therapy before surgery or chemotherapy.