Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Clinical Medical Journal of China》 2002-04
Add to Favorite Get Latest Update

Combinative Therapy of Functional Delayed Gastric Emptying after Radical Gastrectomy

Yang Yong Quan Zhiwei (Department of General Surgery, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200092)  
Objective:To explore the pathogenesis of functional delayed gastric emptying (FDGE) after radical gastrectomy and evaluate the effect of Traditional Chinese medicine (TCM) combined with Western medicine on FDGE. Methods: A retrospective study was performed including 312 cases undergone radical gastrectomy during 6 years period time. Results: 15 FDGE cases were found and the overall incidence rate is 4.81%. Among these cases, 288 patients underwent radical operation (D 2 ), in which 12 FDGE cases (4.17%) were found; 3 FDGE cases (12.5%) were done in 24 patients undergone radical surgery and cholecystectomy. The syndromes of FDGE mainly included generous gastric juice, gastric-tube-shut intolerance (2 cases, 13.3%), gastric retention after liquid-diet (4 cases, 26.7%), and gastric retention after congee-diet (9 cases, 60%). The overall 15 FDGE cases were cured through medical therapy and the course ranged 11~32 (21.33±4.75d). None re-operation was performed. Conclusion: One of the skill reasons causing FDGE might be the over-height of gastrojejunostomic anastomosis. Incoordination between remnant and output loop might be closely related to PDGE. Enteral nutrition by nosal-jejunal tube might improve patient's status and enhance patient's tolerance on prolonged course. Patients have great spontaneous cure chance and re-operation should be cautious.
【CateGory Index】: R735.2
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved