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胃动力生理学与外科干预。

Gastric motility physiology and surgical intervention.

机构信息

Department of Surgery, University of South Alabama College of Medicine, 2451 Fillingim Street, Mobile, AL 36617, USA.

出版信息

Surg Clin North Am. 2011 Oct;91(5):983-99. doi: 10.1016/j.suc.2011.06.012.

DOI:10.1016/j.suc.2011.06.012
PMID:21889025
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11523058/
Abstract

Disordered gastric motility represents a spectrum of dysfunction ranging from delayed gastric emptying to abnormally rapid gastric transit, commonly referred to as the "dumping syndrome." Both extremes of gastric motility disorders can arise from similar pathologic processes, and produce remarkably identical symptoms. This fact underscores the need to attain a precise diagnosis to ensure the institution of optimal therapy. Disordered gastric motility is primarily managed with dietary modification followed by pharmacotherapy, as traditional surgical interventions tend to be fraught with complications. However, continued improvements in minimally invasive diagnostic and therapeutic modalities promise novel options for earlier and more effective treatment.

摘要

胃动力障碍表现为一系列功能紊乱,范围从胃排空延迟到异常快速的胃传输,通常称为“倾倒综合征”。胃动力障碍的两个极端都可能由类似的病理过程引起,并产生非常相似的症状。这一事实强调了需要做出精确诊断,以确保实施最佳治疗的必要性。胃动力障碍主要通过饮食调整和药物治疗来管理,因为传统的手术干预往往伴随着并发症。然而,微创诊断和治疗方式的不断改进,为更早、更有效的治疗提供了新的选择。

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本文引用的文献

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Pathophysiology, diagnosis and management of postoperative dumping syndrome.术后倾倒综合征的病理生理学、诊断与管理
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