Remnant stomach after distal gastric cancer Gastroparesis Logistic regression analysis of factors.doc
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Remnant stomach after distal gastric cancer Gastroparesis Logistic regression analysis of factors
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Remnant stomach after distal gastric cancer Gastroparesis Logistic regression analysis of factors
Study: Forest of mention, Chen Lu Chuan, Zheng Rong race, Wei Sheng Hong, Liu Sheng, Chen Di
[Abstract] Objective To investigate the gastric remnant stomach after distal stomach the risk factors of gastroparesis. Methods Retrospective analysis of gastric cancer distal gastrectomy (D2 +) surgery clinical data of 618 cases. To whether the occurrence of postoperative gastroparesis as the dependent variable, the 2 test univariate analysis, multivariate non-conditional Logistic regression analysis. Results 43 cases of postoperative gastroparesis. Single factor analysis showed that factors in 16 and female, history of diabetes, high blood sugar perioperative , preoperative poor nutritional status, anxiety, after 2 days hypoproteinemia, vagus nerve surgery to retain patients in the home dry and liquid nasal feeding tube on multivariate analysis revealed that women, Perioperative hyperglycemia, anxiety, surgery 2 days after hypoproteinemia, home enteral nutrition into the intraoperative fluid, intraoperative keep dry on the vagus nerve. Conclusion women, perioperative high blood sugar, anxiety, and after 2 days of postoperative hypoproteinemia gastroparesis risk factors; and intraoperative fluid nasal feeding tube set, to retain the vagus nerve surgery postoperative gastroparesis protective factors.
[Keywords:] stomach cancer; gastric stump; stomach muscle paresis; syndrome after gastrectomy; regression analysis
Postoperative gastroparesis syndrome (postoperative gastroparesis syndrome, PGS), also known as stomach weakness after disease, abdominal surgery is due to the non-mechanical obstruction secondary factors caused by delayed gastric emptying as the main signs of gastric motility disorders integrated Zheng, abdominal surgery, especially distal gastrectomy patients (D2 +) common complication after. gastric cancer patients because of
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