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《Henan Journal of Surgery》 2009-04
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The differentiation and treatment of functional and mechanical postgast rectomy emptying disorders

GAO Zhenxing.Department of Gastrointesinal Surgery,Peoples' Hospital of Lushan Country,Lushan 467300,Henan  
Objective To evaluate the clinical characters and treatment of postgastrectomy emptying disorders.Methods The clinical data of 32 cases of postgastrectomy emptying disorders were analyzed retrospectively,including the clinical characters,the alternatives of surgical and conservative treatment,and the means of conservative treatment.Results The situation of 26 patients improved after conservative treatment.The other 6patients underwent laparotomy.4 cases caused by mechanical factors,were confirmed during laparotomy.Another2 cases in which no obvious mechanical factors were found,1 case underwent Braun's anastomosis,1 case underwent jejunostomy.All the patients' status improved or totally recovered except 1 case failed to correct emptying disorders.Conclusions Postgas trectomy emptying disorders are caused by either functional or mechanical factors.The clinical manifestarions,X-ray barium meal examination and gastroscopic examination are important for distinguishing the two factors.Conservative treatment is suggested except for case of intestinal strangulation.The means of conservative treatment include maintenance of fluid and electrolyte balance and acid-base balance,continuous gastric tube sucking an andministration of gastr ointestinal motility drugs.Those caused by functional emptying disorders may alleviate in 2-3 weeks.If not,laparotomy should be considered to carry out.
【CateGory Index】: R656.6
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