胃切除术后胃排空延迟。
Delayed gastric emptying following gastrectomy.
作者信息
Cohen A M, Ottinger L W
出版信息
Ann Surg. 1976 Dec;184(6):689-96. doi: 10.1097/00000658-197612000-00005.
Abstract
The characteristics of 46 patients unable to take a solid diet within two weeks of gastric resection and had no other post-operative complications are reviewed. The incidence of delayed gastric emptying was found to be 2 1/2 times greater in patients with vagotomy and hemigastrectomy than in those with subtotal gastrectomy. In addition, postoperative delay was often prolonged in the hemigastrectomy and vagotomy group. Mechanical factors were responsible for delay in only 10% of these patients. Possible explanations for these delays are made and it is suggested that localized starch peritonitis may explain many cases of "functional efferent limb ileus." Measures to evaluate the source of delay are recommended and suggest conservative management for the majority of patients. Reoperation is reserved for those who require feeding or draining enterostomy tubes and those whose clinical course and evaluation suggest obstruction.
摘要
回顾了46例胃切除术后两周内无法摄入固体食物且无其他术后并发症患者的特征。发现迷走神经切断术和半胃切除术患者的胃排空延迟发生率比胃次全切除术患者高2.5倍。此外，半胃切除术和迷走神经切断术组的术后延迟通常会延长。机械因素仅导致这些患者中10%的延迟。对这些延迟的可能解释进行了探讨，并提出局部淀粉性腹膜炎可能解释许多“功能性传出襻肠梗阻”病例。建议采取措施评估延迟的原因，并建议对大多数患者进行保守治疗。再次手术仅适用于那些需要肠造口喂养或引流管的患者以及临床病程和评估提示有梗阻的患者。
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Gastric atonia and delayed gastric emptying after vagotomy for obstructing ulcer.胃迷走神经切断术治疗梗阻性溃疡后出现胃张力缺乏和胃排空延迟。
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Acute obstruction of afferent or efferent loop, following, antecolic partial gastrectomy, with report of three cases.结肠前部分胃切除术后输入袢或输出袢急性梗阻：附三例报告
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