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结肠癌术后功能性胃排空障碍的诊断和治疗

Clinical management of functional delayed gastric emptying after colonic operation

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【作者】 陈国斌傅红师英强林云

【Author】 CHEN Guo bing, FU Hong, SHI Ying qiang,et al (4th Department of Surgery, Xinyu People’s Hospital, Jiangxi Xinyu 338025, China) [

【机构】 江西省新余市人民医院外四科!江西新余338025复旦大学医学院附属肿瘤医院外科!上海200232

【摘要】 目的 :探讨结肠癌术后功能性胃排空障碍的原因、诊断及治疗。方法 :回顾性分析 6例结肠癌术后功能性胃排空障碍的临床资料。结果 :6例均发生于术后 4— 6天 ,症状持续时间为 15— 42天 ,均经非手术治疗痊愈出院。结论 :结肠癌术后功能性胃排空障碍系多种因素作用的结果 ,精神紧张、失眠、营养不良、低蛋白血症、淋巴清除的范围 ,及联合脏器切除等均为本病的高危因素 ;诊断的关键是排除机械性胃肠梗阻 ,消化道造影为简单可靠的检查方法 ;联合应用胃动力药物的综合治疗可取得较好疗效。

【Abstract】 Purpose:To investigate the possible causes, diagnosis, and treatment of functional delayed gastric emptying (FDGE) after colonic operation.Methods:The clinical data of 6 patients with coon cancer from 1995 to 2000 were retrospectively analysed.Results:FDGE occurred in all of the 6 patients 4 to 6 days after surgery and the clinical symptoms disppeared gradually with medical therapy.Conclusions:The causes of FDGE are due to many factors such as mental stress, asleep, inutration, low albumine, ertent of lymphadectomy and the combined organ resection. An upper gastrointestional radiography is the main method of diagnosis of FDGE and gastrointestinal motility can return spontaneously after a long period of medical therapy with some prokinetic drugs. [

【关键词】 结肠癌手术胃排空障碍
【Key words】 colon cancersurgerygastric emptyingdisfunction
  • 【文献出处】 中国癌症杂志 ,China Oncology , 编辑部邮箱 ,2001年03期
  • 【分类号】R735.3
  • 【被引频次】3
  • 【下载频次】57
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