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《Chinese General Practice》 2008-05
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Etiology and Treatment of Gastroparesis Syndrome Following Abdominal Operation

WANG Guo-xin,GENG Dong-hua,LIU Jin-Gang.Endoscopy Therapeutic Center of The Shengjing Hospital of China Medical University,Shenyang 110004,China  
Objective To summarize the clinical presentations and diagnostic mode gastroparesis syndrome following abdominal operation,and analyze its etiology and treatment.Methods The retrospective analysis was used for the clinical data of 52 patients with gastroparesis syndrome complicated after abdominal operation.Results The clinical manifestations of postoperative gastroparesis were abdominal distention,vomit,no obvious abdominal pain and normal gas discharge by anus in majority patients,weak enterocinesia was shown by barium meal X-ray of alimentary canal opacification,and unobstructed anastomotic stoma shown by gastroscopy.All the symptoms of 52 patients were relieved by gastrointestinal decompression,nutrition support,water-electrolyte metabolism balance,gastrointestinal motility pharmacotherapy and combined treatment with integrated traditional Chinese medicine and western medicine.Conclusion The diagnosis of postoperative gastroparesis syndrome mainly depends on clinical manifestations.Gastroscopy is of significant value in diagnosis.Non-surgical therapies may be taken and have satisfactory therapeutic effect as long as mechanical is excluded.
【CateGory Index】: R656
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