CAJ | 학술논문

目的：探讨便秘术后胃排空功能障碍（FDGE）的原因及肠内营养支持治疗的作用。方法回顾性分析2008年7月至2013年3月80例重度功能性便秘患者的临床资料，患者行结肠次全切除联合改良Duhamel术，术后发生FDGE者进行肠内营养支持等保守治疗。结果80例重度功能性便秘患者术后有13例发生FDGE，发生率为16.25%，其中9例耐受全肠内营养治疗，4例辅助外周静脉营养支持。保守治疗后7~43 d后好转。结论功能性消化不良可能是便秘患者术后发生胃排空功能障碍的主要原因，肠内营养支持在治疗胃排空功能障碍中起主要作用。
목적：탐토편비술후위배공공능장애（FDGE）적원인급장내영양지지치료적작용。방법회고성분석2008년7월지2013년3월80례중도공능성편비환자적림상자료，환자행결장차전절제연합개량Duhamel술，술후발생FDGE자진행장내영양지지등보수치료。결과80례중도공능성편비환자술후유13례발생FDGE，발생솔위16.25%，기중9례내수전장내영양치료，4례보조외주정맥영양지지。보수치료후7~43 d후호전。결론공능성소화불량가능시편비환자술후발생위배공공능장애적주요원인，장내영양지지재치료위배공공능장애중기주요작용。
Objective To find out the application of enteral nutrition in the treatment of functional delayed gastric emptying (FDGE) after operation of constipation. Methods Eighty patients with severe functional constipation received laparoscopic assisted subtotal colectomy combined with modified Duhamel procedure from July 2008 to March 2013 were retrospectively analyzed. The postoperative patients with FDGE received conservative treatment with enteral nutrition support. Results Of the 80 patients with severe functional constipation, 13 had postoperative FDGE, the incidence being 16.25%. Nine cases were treated with total enteral nutrition and 4 cases combined with parenteral nutrition support. The patients were cured within 7-43 days. Conclusions The main cause for FDGE after operation of constipation may be the functional dyspepsia. Enteral nutrition support plays a main role in the treatment of FDGE.