Risk factors of delayed gastric emptying and its influence on the prognosis after radical gastrectomy for distal gastric cancer
10.3760/cma.j.issn.1007-631X.2020.02.005
- VernacularTitle:胃癌根治术后胃排空延迟的危险因素分析及其对预后的影响
- Author:
Shenghong WEI
1
;
Yi WANG
;
Zaisheng YE
;
Yi ZENG
;
Zhenmeng LIN
;
Zhitao LIN
;
Shu CHEN
;
Xiaoling CHEN
;
Luchuan CHEN
Author Information
1. 福建省肿瘤医院福建医科大学附属肿瘤医院胃肠外科
- Keywords:
Stomach neoplasms;
Gastric emptying;
Risk factors;
Prognosis;
Gastrectomy
- From:
Chinese Journal of General Surgery
2020;35(2):104-107
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factor of delayed gastric emptying (DGE) and the impact of DGE on prognosis after radical gastrectomy of distal gastric carcinoma.Methods The clinical and pathological data of 1 447 distal gastric cancer patients undergoing gastrectomy from Jul 2007 to Jan 2018 at Fujian Tumour Hospital was analyzed retrospectively.Result DGE was found in 101 patients (7.0％),occurring at a median of (6.0 ± 2.1) d after surgery.It was significantly correlated with age,diabetes,hypoproteinemia,preoperative pyloric obstruction,operation time,surgical mode,anastomotic procedure,postoperative analgesia(all P ＜ 0.05).Multivariate analysis showed that hypoproteinemia,diabetes,pyloric obstruction in preoperative period,surgical mode,postoperative analgesia,anastomotic procedure were independently associated with DGE.The average hospitalization time for DGE was significantly higher than patients with non DGE(16.3 ± 4.2) d vs.(8.1 ± 2.1) d,P ＜ 0.05.The five-year survival of patients with DGE and non DGE were 54.9％ and 54.2％ respectively(P ＞0.05) Conclusion DGE prolonged hospital stay,but did not influence patients' prognosis.
