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Diagnosis and treatment of functional delayed gastric emptying after subtotal gastrectomy. Chen Tao,Zhou Qingxian,Tian Fuzhou.Center of

General Surgery,General Hospital of Chengdu Command,Chengdu 610083  
Objective To investigate the possible causes of functional delayed gastric emptying(FDGE)and its diagnosis and treatment. Methods The clinical data of 256 patients who had subtotal gastrectomy from 1993 to 1998 were retrospectively analysed. Results FDGE occurred in 12 of 256 patients(4\^7%)with 3 to 12 days after surgery.All the 12 patients recovered with medical therapy and were discharged.Among the 12 patients with FDGE,8\^33% recovered by a week,66\^67% by 2 weeks,91\^67% by 3 weeks and 100% by 32 days. Conclusion Alteration of gastrointestinal motility may be the main cause of FDGE.An upper gastrointestinal radiography and endoscopy are the important methods of diagnosis of FDGE and differential diagnosis with mechanical ileus.Gastrointestinal motility can return spontaneously after a long period of medical therapy and there is no need for reoperation for gastric stasis.Some prokinetic drugs may have had a beneficial effect on the postoperative gastrointestinal motility.
【CateGory Index】: R573.9,R573.9
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