Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, 3401 N. Broad St, Suite C-501. Philadelphia, PA, 19140, USA.
Thoracic Medicine and Surgery, Lewis Katz School of Medicine at Temple University, 3401 N. Broad St, Suite C-501. Philadelphia, PA, 19140, USA.
Gastroenterol Clin North Am. 2020 Sep;49(3):539-556. doi: 10.1016/j.gtc.2020.04.008. Epub 2020 Jun 20.
Gastroparesis is a complex chronic debilitating condition of gastric motility resulting in the delayed gastric emptying and multiple severe symptoms, which may lead to malnutrition and dehydration. Initial management of patients with gastroparesis focuses on the diet, lifestyle modification and medical therapy. Various endoscopic and surgical interventions are reserved for refractory cases of gastroparesis, not responding to conservative therapy. Pyloric interventions, enteral access tubes, gastric electrical stimulator and gastrectomy have been described in the care of patients with gastroparesis. In this article, the authors review current management, indications, and contraindications to these procedures.
胃轻瘫是一种复杂的慢性胃动力障碍性疾病，导致胃排空延迟和多种严重症状，可能导致营养不良和脱水。胃轻瘫患者的初始治疗侧重于饮食、生活方式改变和药物治疗。对于保守治疗无效的难治性胃轻瘫病例，保留各种内镜和手术干预措施。幽门干预、肠内通路管、胃电刺激和胃切除术已用于胃轻瘫患者的治疗。本文作者回顾了这些手术的当前治疗方法、适应证和禁忌证。
