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[胃排空延迟作为保留幽门胰十二指肠切除术的常见并发症]

[Delayed gastric emptying as a frequent complication of pylorus-preserving pancreatoduodenectomy].

作者信息

Oláh A, Bogdán-Rajcs S, Pardavi G, Mátrai T

机构信息

Petz Aladár Megyei Kórház, Sebészeti Osztály, Gyór.

出版信息

Orv Hetil. 1993 Aug 22;134(34):1857-60.

PMID:8102794
Abstract

The most common complication of the pylorus-preserving pancreatoduodenectomy is delay in gastric emptying. Authors present on 18 pylorus-preserving resection performed in the County Hospital of Gyór and Nyíregyháza between 90-92. Delayed gastric emptying (DGE) developed altogether in 7 patients, median length of prolongation of gastric suction was 13.6 days. None of patients had reoperation. Comparing the two groups according to the type of duodeno-jejunostomy, the complication was higher after end to side anastomosis. Authors review the literature and comparing to their own results they study the mechanism, the possible causes and the therapy of DGE. They emphasize that in can be managed conservatively with patience.

摘要

保留幽门的胰十二指肠切除术最常见的并发症是胃排空延迟。作者介绍了1990年至1992年间在杰尔和尼赖吉哈佐县医院进行的18例保留幽门的切除术。共有7例患者出现胃排空延迟(DGE),胃吸引延长的中位时长为13.6天。所有患者均未进行再次手术。根据十二指肠空肠吻合术的类型对两组进行比较,端侧吻合术后的并发症更高。作者回顾了文献,并将其结果与之比较,研究了胃排空延迟的机制、可能原因及治疗方法。他们强调,胃排空延迟可以通过耐心的保守治疗来处理。

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