Integrative Medicine gastroparesis after abdominal surgery syndrome_0.docVIP

 PAGE \* MERGEFORMAT 6 Integrative Medicine gastroparesis after abdominal surgery syndrome [Keywords:] Postoperative gastroparesis syndrome, small Decoction, Chinese and Western medicine therapy Postoperative gastroparesis syndrome (Postsurgical gastroparesis syndrome, PGS) is a non-mechanical obstruction, delayed gastric emptying is a gastric motility disorder as the main manifestation of the syndrome, more common in abdominal surgery, especially most occur in the stomach resection .2003 January -2009 In January, the author TCM-WM therapy after abdominal surgery PGS, and Western medicine alone were compared with the observed results were satisfactory, the results reported below. 1 Clinical data 1.1 Diagnostic criteria Diagnostic criteria with reference to PGS [1]: ① The one or more of the examinations showed no mechanical gastric outlet obstruction, ② anal exhaust recovery after surgery, early abdominal fullness after eating, repeated vomiting bile samples of gastric contents, you need to set into the stomach, Japan and drainagegt; 800 mL, and continued to 10 d, ③ no significant water and electrolyte and acid-base balance disorders, ④ the basis of gastroparesis without causing diseases such as diabetes, ⑤ not affect the smooth application of drugs such as morphine class, atropine, etc., ⑥ exclude mechanical obstruction factor. 1.2 General Information A total of 117 cases observed cases, both hospital general surgery inpatients. Which partial gastrectomy in 92 patients, 4 cases of biliary tract surgery, traumatic splenectomy in 3 cases, traumatic intestinal rupture repair in 4 cases, enterolysis 5 cases, liver rupture repair in 3 cases, 2 cases of pancreatic damage repair, small bowel tumor resection in 2 cases, drainage of pancreatic pseudocyst in 2 patients. occurred after PGS time for 6 ~ 13 d, an average of 9 d . The patients were randomly divided into 2 groups: treatment group 65 cases, male 40 cases, 25 females, aged 56 to 82 years, m