非胃手术后功能性胃排空障碍7例诊治分析

Diagnosis and treatment of seven patients with functional delayed gastric emptying after non-gastric operations

摘要: 目的: 探讨非胃手术后功能性胃排空障碍(FDGE)的病因、诊断及治疗。方法: 对2000年5月~2005年12月发生的7例非胃手术后FDGE患者的临床资料进行回顾性分析。结果: 非胃手术后FDGE多发生于腹部手术后的4~8天,主要表现为上腹饱胀、呕吐。7例均经非手术治疗后15~24天恢复胃动力。结论: 腹部非胃手术后FDGE的病因是多因素的,临床表现结合胃镜及影像学检查可确诊,采取非手术治疗可治愈。

Abstract: Objective: To explore the etiology,diagnosis and treatment of functional delayed gastric emptying(FDGE) after non-gastric operation.Methods: The clinical data of 7 patients with FDGE from May 2000 to December 2005 were analyzed retrospectively.Results: FDGE usually occurred on the 4th to 8th day postoperatively.The gastric function of patients who received non-operative therapy recovered on the 15th to 24th day postoperatively.Conclusions: FDGE is caused by multiple factors.Gastroscopy and X-ray of digestive tract are valuable in the diagnosis of it.FDGE can be cured by non-surgical treatment.