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《Chinese Journal of Gastrointestinal Surgery》 2002-04
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Clinical analysis of postsurgical gastroparesis syndrome after gastrectomy

YANG Weiliang,ZHAO Gang,ZHANG Xinchen,et al.Department of General Surgery,The Second Affiliated Hospital,Harbin Medical University,Harbin 150086,China  
Objective To explore the etiology,pathogenesis,diagnosis and treatment of postsurgical gastroparesis syndrome(PGS) after subtotal gastrectomy. Methods Clinical data of 4 955 patients with subtotal gastrectomy (from 1972 1 to 2002.2) were analyzed retrospectively. Results There were 46 patients suffering from PGS (0 92% in total 4 955 patients), occurring within 5~8 d after operation. 44 patients were cured with nonoperative treatment(within 15 d:12; 16 d:10; 18 d:15; 21 d:2; 22 d:2; 25 d:2; 27 d:1). Reoperation was performed in two patients at 14th d and 16th d respectively, but symptoms were not relieved. They all pulled through with sustaining nonoperative treatments at 20th d and 30th d after operation. Conclusions PGS is induced by multiple factors. Radiography of upper gastrointestinal tract and gastroscopy are main methods to diagnose PGS, and organic and mechanical illness must be excluded. The methods of nonoperation are effective to patients with PGS, and operation should be classed as contraindication.
【CateGory Index】: R656.61
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