Residual stomach after subtotal gastrectomy FDGE report of 13 cases.docVIP

 PAGE \* MERGEFORMAT 9 Residual stomach after subtotal gastrectomy FDGE report of 13 cases Most papers Keywords: gastric remnant after resection of delayed gastric emptying Abstract Objective: To study the majority of gastric emptying after resection of the occurrence of functional etiology, diagnosis and treatment and prevention. Methods: 1998 ~ 2006 implemented 167 cases of gastrectomy on the clinical data were analyzed retrospectively. Results: The total FDGE (FDGE) 13 cases of incidence of about 7.78%, both of which occurred in patients 7 to 12 days. All patients were cured by conservative treatment and discharged. Conclusion: Postoperative residual gastric motor function in functional decline occurred emptying the main reason. Adopt a non-surgical treatment in general can be cured. With the continuous improvement of surgical skill levels, residual stomach after subtotal gastrectomy mechanical emptying of the incidence rate decreased year by year, but delayed gastric emptying workers continue to plague the clinical surgery. In our hospital from 1998 to 2006 implementation of 167 cases of subtotal gastrectomy, residual gastric emptying occurred in 13 cases, these are as follows. Materials and methods The group of 109 cases of male and female 58 cases; aged 45 to 76 years, with an average age of 60. 96 cases of gastric cancer, gastric ulcer 44 cases, 27 cases of duodenal ulcer. FDGE13 cases occurred in this group, 9 males and 4 females. 7 cases in which gastric cancer, gastric ulcer complicated by perforation in 4 cases, duodenal ulcer complicated by perforation in 2 cases. Bi Ⅰ -type anastomosis in 2 cases, BI anastomosis 11 cases of type Ⅱ . FDGE occurred in this group after 7 to 12 days. Which began after 6 to 7 days after eating symptoms in 8 patients after 9 to 12 days from the liquid to a semi-liquid diet after developing symptoms in 5 cases. Clinical manifestations: gastrointestinal decompression after surgery the patient to stop and s