Gastroparesis After Abdominal Operation: a Clinical Analysis of 16 Cases
Liu Hui Huang Taocheng Cai Yuankun et al. (Department of Surgery, Shanghai the Fifth People Hospital, Fudan University, Shanghai 200240)
Objective: To study the pathogenesis and treatment and preventive measure of gastroparesis after abdominal oper-ation. Methods: The clinical data from 16 cases of gastroparesis after abdominal operation were review retrospectively. Results: The high morbility of gastroparesis were found in the cases whose age were over 70 or operation time were over 4 hours, or who used patient - controlled analgesia or underwent gastric carcinoma radical operation or extensive duodenopancreatectomy or complex biliary operation. The clinical manifestation, barium meal examination and gastroscopy were the main diagnostic methods. All the patients recovered by undergoing conservative treatment within 6 weeks.Conclusion: We should take into ac-count the occurrence of gastroparesis after the major abdominal operation. Senility and long time of operation and patient - controlled analgesia after operation maybe the high risk factors of gastroparesis after operation of gastric carcinoma, caput pancre-atic carcinoma and multiple biliary operation. Combined conservative treatment is the effective treatment methods of gastroparesis and multiple operation should be avoided as low as possible.