Four Gentlemen Decoction on gastric cancer postoperative gastroparesis syndrome in 19 cases.docVIP

 PAGE \* MERGEFORMAT 6 Four Gentlemen Decoction on gastric cancer postoperative gastroparesis syndrome in 19 cases [Keywords:] stomach muscle Sijunzitang gastroparesis syndrome after surgery complications Gastroparesis Syndrome (postsurgical gastroparesis syndrome, PGS) is a non-mechanical obstruction stomach to gastric emptying as the main signs of gastric motility disorder syndrome, manifested as severe abdominal distension, abdominal pain, nausea, belching, vomiting [ 1] .2005-01-2007-04, I applied Decoction of Four Noble gastroparesis syndrome after gastric resection in 19 cases. Are as follows. 1 Materials and Methods 1.1 General Information All 19 cases were hospital inpatient general surgery patients, 9 males and 10 females, aged 48 to 65 years, mean 53 years. Were distal gastric cancer patients, 3 to 5 days after discharge, bowel sounds recovery, removal of 4 to 6 daily flow of food into the stomach, 7 to 9, there appears epigastric discomfort, nausea, belching, severe vomiting. 1.2 The diagnostic criteria [2] Abdominal swelling, the water could be heard and sound vibration, endoscopy and X-ray examination of gastric decompression in 800 mL or more per day, abdominal ultrasound or CT scan B diaphragm, duodenal stump and no pelvic abscess or fluid, blood, electrolytes check no exception. line the gastrointestinal tract 76% diatrizoate contrast, see the output section, input section smooth, no obstruction. 1.3 Treatment 1.3.1 Conventional Treatment Parenteral nutrition therapy, to correct the negative nitrogen balance, lose of fresh whole blood and human serum albumin, seriously, I continued decompression. 1.3.2 Chinese medicine treatment To the four noble decoction. Drugs: Taizishen 12 g, Atractylodes fried 10 g, Poria 12 g, licorice 9 g. Modified: epigastric fullness plus Divine Comedy 10 g, coke Hawthorn 8 g, Gallus gallus domesticus 6 g, nausea , vomiting addition Pinellia 10 g, dried tangerine peel 12 g, pantothen