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Gastric dysrhythmias following pylorus-preserving pancreaticoduodenectomy. Possible mechanism for early delayed gastric emptying.

作者信息

Hocking M P, Harrison W D, Sninsky C A

机构信息

Department of Surgery, University of Florida College of Medicine, Gainesville.

出版信息

Dig Dis Sci. 1990 Oct;35(10):1226-30. doi: 10.1007/BF01536411.

DOI:10.1007/BF01536411
PMID:2209290
Abstract

Transient delayed gastric emptying is reported as a frequent complication following pancreas-preserving pancreaticoduodenectomy (PPW). We placed serosal electrodes on the stomach of a patient undergoing PPW. Myoelectric recordings were obtained postoperatively and correlated with simultaneous radionuclide liquid gastric emptying studies. The patient developed early postoperative gastric atony, associated with frequent gastric dysrhythmias. These dysrhythmias may have been exacerbated by a perihepatic abscess. The gastric dysrhythmias correlated with alterations in liquid gastric emptying. Gastric dysrhythmias may be a mechanism for gastric dysfunction in the early postoperative period.

摘要

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本文引用的文献

1
Gastric and small intestinal myoelectric dysrhythmia associated with chronic intractable nausea and vomiting.与慢性顽固性恶心和呕吐相关的胃和小肠肌电节律紊乱
Ann Intern Med. 1981 Oct;95(4):449-51. doi: 10.7326/0003-4819-95-4-449.
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Electrical arrhythmias in the human stomach.人体胃部的心律失常
Gut. 1981 Sep;22(9):705-12. doi: 10.1136/gut.22.9.705.
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Study of electromechanical activity of the stomach in humans and in dogs with particular attention to tachygastria.对人类和犬类胃的机电活动进行研究，特别关注胃快速排空。
在接受保留幽门的胰十二指肠切除术的患者中，胃减压是否应作为常规操作？
World J Surg. 2016 Nov;40(11):2766-2770. doi: 10.1007/s00268-016-3604-0.
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A novel retractable laparoscopic device for mapping gastrointestinal slow wave propagation patterns.一种用于绘制胃肠慢波传播模式的新型可伸缩腹腔镜设备。
Surg Endosc. 2017 Jan;31(1):477-486. doi: 10.1007/s00464-016-4936-4. Epub 2016 Apr 29.
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Delayed gastric emptying after pancreaticoduodenectomy. Risk factors, predictors of severity and outcome. A single center experience of 588 cases.胰十二指肠切除术后胃排空延迟。危险因素、严重程度及预后的预测因素。单中心588例经验
J Gastrointest Surg. 2015 Jun;19(6):1093-100. doi: 10.1007/s11605-015-2795-2. Epub 2015 Mar 11.
6
Does Braun enteroenterostomy reduce delayed gastric emptying after pancreaticoduodenectomy?布劳恩肠肠吻合术能否减少胰十二指肠切除术后的胃排空延迟？
Medicine (Baltimore). 2014 Aug;93(7):e48. doi: 10.1097/MD.0000000000000048.
7
Pylorus-preserving versus pylorus-resecting pancreaticoduodenectomy for periampullary and pancreatic carcinoma: a meta-analysis.保留幽门与切除幽门的胰十二指肠切除术治疗壶腹周围癌和胰腺癌：一项荟萃分析。
PLoS One. 2014 Mar 6;9(3):e90316. doi: 10.1371/journal.pone.0090316. eCollection 2014.
8
Prevention of delayed gastric emptying after pylorus-preserving pancreatoduodenectomy with antecolic reconstruction, a long jejunal loop, and a jejuno-jejunostomy.采用结肠前重建、长袢空肠及空肠-空肠吻合术预防保留幽门胰十二指肠切除术后胃排空延迟
J Gastrointest Surg. 2014 Apr;18(4):662-73. doi: 10.1007/s11605-013-2446-4. Epub 2014 Feb 20.
9
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World J Surg. 2014 Apr;38(4):968-75. doi: 10.1007/s00268-013-2288-y.
10
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J Gastrointest Surg. 2009 Sep;13(9):1674-82. doi: 10.1007/s11605-009-0944-1. Epub 2009 Jun 23.
Gastroenterology. 1984 Jun;86(6):1460-8.
4
Clinical electrogastrography and its relationship to gastric surgery.临床胃电图及其与胃手术的关系。
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Surg Gynecol Obstet. 1985 Jan;160(1):1-4.
6
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Is proximal pancreatoduodenectomy with pyloric preservation superior to total pancreatectomy?保留幽门的近端胰十二指肠切除术是否优于全胰切除术？
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Pylorus-preserving pancreatectomy: functional results.保留幽门的胰切除术：功能结果
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