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《Journal of Medical Forum》 2010-15
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Clinical Analysis of Postsurgical Gastroparesis Syndrome after Radical Gastrectomy for Gastric Cancer

LIU Yingqiang,JI Sheqing,ZHANG Bin Department of Gastroenterological Surgery,Henan Tumor Hospital,Zhengzhou 450008,China  
Objective To investigate the etiology,diagnosis and treatment of postsurgical gastroparesis syndrome(PGS)after radical gastrectomy for gastric cancer.Methods The clinical data of 325 cases with radical gastrectomy for gastric cancer were collected from March 2005 to December 2009,12 cases with PGS were enrolled.The clinic manifestation,process of diagnosis,treatment and risk factors for PGS were retrospectively analyzed.Results Patients with preoperative gastric outlet obstruction and postoperative abdominal cavity infection were easily complicated PGS(P0.05).The risk of PGS with Billroth-Ⅱ or Roux-en-Y gastrojejunostomy were much higher than Billroth-I or gastroesophagostomy.The patients with PGS were usually recovered by non-operative treatments,and average recovery time was 25.6d.Conclusion PGS is induced by multiple factors.Radiography of upper gastrointestinal tract and gastroscopy are main diagnostic modalities for PGS.Non-operative treatments are effective for PGS,and unnecessary reoperation should be avoided.
【CateGory Index】: R735.2
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