CAJ | 학술논문

目的分析食管癌切除术后发生胃排空障碍的原因及防治措施.方法对13例食管癌术后并发胃排空障碍患者的临床资料进行回顾性分析.结果 13例胃排空障碍均发生于术后第10天,其中10例保守治疗,3例机械性胃排空障碍手术治愈.结论胃上提、牵拉等解剖位置变化是胃排空障碍的主要原因,迷走神经离断、术后未充分减压等因素也与胃排空障碍有关；手术操作技巧是引起机械性胃排空障碍的主要原因.功能性胃排空障碍行保守治疗；发生机械性胃排空障碍应尽早手术.
목적 분석식관암절제술후발생위배공장애적원인급방치조시.방법 대13례식관암술후병발위배공장애환자적림상자료진행회고성분석.결과 13례위배공장애균발생우술후제10천,기중10례보수치료,3례궤계성위배공장애수술치유.결론 위상제、견랍등해부위치변화시위배공장애적주요원인,미주신경리단、술후미충분감압등인소야여위배공장애유관；수술조작기교시인기궤계성위배공장애적주요원인.공능성위배공장애행보수치료；발생궤계성위배공장애응진조수술.
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.