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Clinical analysis of postsurgical gastroparesis syndrome after gastrectomy
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1671-0274.2002.04.003
- Key Word:
- 胃切除术;胃瘫综合征;治疗
Abstract： 目的探讨胃大部切除术后残胃胃瘫综合征(PGS)的发生原因、机制、诊断及治疗.方法对1972年1月至2002年6月4955例胃大部切除术后出现PGS的46例患者的临床资料进行回顾性总结.结果本组PGS发生率092%,均发生于术后5～8d.44例非手术治愈,15d内治愈12例,16d10例,18d15例,21d2例,22d2例,25d2例,27d1例.2例于胃大部切除术后14d和15d再次手术加行胃肠或肠肠吻合仍未缓解,继续内科治疗,分别于术后20d和30d治愈.结论PGS的发生是由多种因素诱发.诊断时必须排除机械性、器质性病变.上消化道造影及胃镜检查是诊断PGS的可靠方法.采用非手术疗法均可治愈,手术治疗应列为禁忌证.
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