Influencing factors of delayed gastric emptying after esophageal and cardiac cancer surgery
10.7619/jcmp.201807015
- VernacularTitle:食管贲门癌术后胃排空障碍的影响因素
- Author:
Guanjun JU
1
;
Minxin SHI
;
Haimin LU
;
Qinghua MAO
;
Yihui FAN
;
Hongli LIU
Author Information
1. 南通大学附属肿瘤医院胸外科
- Keywords:
esophageal and cardiac carcinoma;
delayed gastric emptying;
risk factors;
preventive measures
- From:
Journal of Clinical Medicine in Practice
2018;22(7):57-59
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the related factors and preventive measures of delayed gastric emptying after operation for esophageal and cardiac carcinoma.Methods A total of 45 patients with delayed gastric emptying after operation for esophageal and cardiac carcinoma were selected as observation group,and 45 patients without delayed gastric emptying after operation for esophageal and cardiac carcinoma were selected as control group.Differences in the relevant factors were compared between the two groups.Results Single factor analysis showed that older age,high body mass index,short time education,malnutrition,poor mental state,rural residence,surgical incision,blood loss,long operation time,postoperative analgesia pump application,and the large amount of fluid volume were related risks of delayed gastric emptying (P < 0.05).The Logistic regression analysis showed that older age (OR =4.15,95 % CI:1.89 ~ 26.30),bad psychological reaction (OR =3.96,95% CI:1.38 ~ 25.38),long operation time (OR =3.40,95% CI:1.11 ~ 20.28) and malnutrition (OR =3.02,95% CI:1.09 ~ 19.35) were independent factors of delayed gastric emptying.Conclusion Delayed gastric emptying is one of the common complications after operation for esophageal and cardiac carcinoma,and the influencing factors are complex.