Prevention and treatment of delayed gastric emptying after operation for esophageal carcinoma

VernacularTitle:食管癌切除术后胃排空障碍的防治
Author: Wenchao QIN ; Daokui XIA ; Zhenjie WU ; Xu HU
Publication Type:Journal Article
Keywords: Stomach Neoplasms; Postgastrectomy syndromes; THERAPY
From: Chinese Journal of Primary Medicine and Pharmacy 2013;20(9):1345-1347
CountryChina
Language:Chinese
Abstract: Objective To investigate the cause,treatment and prevention of delayed gastric emptying (DGE) after operation for esophageal carcinoma.Methods The clinical data of 13 cases with DGE after operation for esophageal carcinoma were analyzed retrospectively.Results DGE occurred at 10th day after operation.10 cases with functional delayed gastric emptying(FDGE) recovered after conservative treatmeut.3 cases with mechanical delayed gastric emptying(MDGE) were given surgical treatment.Conclusions The anatomical displacement of stomach may be the main cause of DGE.DGE is also related to vagus nerve and postoperative inadequate gastrointestinal decompression.Clinical symptoms,X-ray barium meal radiography and gastroscopy examination are the important diagnostic method.Conservative treatment should be the first choice for FDGE.The use of some gastro-intestinal prokinetic drugs may have a beneficial effect on FDGE.Once the diagnosis of MDGE is established,surgical treatment should be performed as early as possible.The fully preoperative preparation,the precise and concise techniques in operation and postoperative appropriate management may decrease the occurrence of DGE.