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《Hebei Medical Journal》 2000-11
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Clinical analysis of gastroparesis after abdominal surgical operation.

ZHOU Jianye.ZhuJiaJiao Hospital of Shanghai QingPu Country,Shanghai 201713,China  
Objective To treat of the etiology,diagnosis and treatment of gastroparesis after abdominal surgical operation.Methods Clinical data from of 262 patients with gastroctony and other patients with abdominal surgical operation 1993 to 1998 were analyzed retrospectively.Results Gastroparesis occurred in 11 patients in the group,Including 8 with gastroparesis after gastrectomy.This accounted for 3.1% of 262 patients with gastrectomy.This accounted for 73% of 11 patients with gastrooparesis.All the 11 patients recovered with medical therapy and were discharged 9.1% recovered within 2 weeks,46% with 3 weeks,91% with in 3 months.Conclusion The synthetical factor may be the cause of gastroparesis after abdominal surgical operation,but mental factor and serions degree of gastric disease after a Billroth Ⅱ type gastrojejunostomy are closely correlated to gastroparesis.An upper gastrointestinal radiography and endoscopy are the important methods of diagnosis of gastroparesis and differential diagnosis with mechanical ileus.Gastrointestinal motility can return spontaneously afetr a long period of medical therapy and there is no need for reoperation for gastric stasis.Reoperation should be avoided.Some hormonal drugs and glucocorticoid are helpful in the treatment of gastroparesis.
【CateGory Index】: R656
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