Quigley Eamonn M M
Division of Gastroenterology and Hepatology, Houston Methodist Hospital, Well Cornell Medical College, 6550 Fannin Street, SM 1001, Houston, TX 77030, USA.
Gastroenterol Clin North Am. 2015 Mar;44(1):69-81. doi: 10.1016/j.gtc.2014.11.006. Epub 2014 Dec 17.
Although many surgical procedures originally associated with gastroparesis are less commonly performed nowadays, several more recently developed upper abdominal procedures may be complicated by the development of gastroparesis. Gastroparesis has been described in association with neurologic disorders ranging from Parkinson disease to muscular dystrophy, and its presence may have important implications for patient management and prognosis. Although scleroderma is most frequently linked with gastrointestinal motility disorder, gastroparesis has been linked to several other connective tissue disorders. The management of these patients presents several challenges, and is best conducted in the context of a dedicated and skilled multidisciplinary team.
尽管许多最初与胃轻瘫相关的外科手术如今已较少施行,但最近开展的一些上腹部手术可能会因胃轻瘫的发生而变得复杂。胃轻瘫已被描述与从帕金森病到肌肉萎缩症等一系列神经系统疾病相关,其存在可能对患者的管理和预后具有重要意义。虽然硬皮病最常与胃肠动力障碍相关,但胃轻瘫也与其他几种结缔组织疾病有关。这些患者的管理面临诸多挑战,最好在专业且技术娴熟的多学科团队背景下进行。