术后胃瘫综合征的诊断与治疗

被引:23
作者
邹金艳
林军
机构
[1] 武汉大学中南医院消化内科,湖北省肠病医学临床研究中心
关键词
术后胃瘫综合征; 胃排空; 诊断; 治疗;
D O I
暂无
中图分类号
R619 [手术前后的处理及外科并发症]; R573 [胃疾病];
学科分类号
100120 [医学发育生物学]; 100201 [内科学];
摘要
术后胃瘫综合征是临床常见的手术后并发症,其主要特点为术后胃排空延迟,其发病机制与手术方式、术后感染及患者情绪等相关。诊断主要以术后出现胃潴留,且排除消化系统机械性梗阻及其他能导致胃动力下降的疾病或药物等。治疗以内科保守治疗为主,包括持续胃肠减压、维持内环境稳定、肠内营养、促动力药物、中医中药治疗等。
引用
收藏
页码:99 / 102
页数:4
相关论文
共 26 条
[1]
Gastric Electrical Stimulation Improves Outcomes of Patients With Gastroparesis for up to 10 Years [J].
McCallum, Richard W. ;
Lin, Zhiyue ;
Forster, Jameson ;
Roeser, Katherine ;
Hou, Qingjiang ;
Sarosiek, Irene .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2011, 9 (04) :314-U60
[2]
Gastroparesis: Approach, Diagnostic Evaluation, and Management [J].
Tang, Derek M. ;
Friedenberg, Frank K. .
DM DISEASE-A-MONTH, 2011, 57 (02) :74-101
[3]
Review article: metoclopramide and tardive dyskinesia [J].
Rao, A. S. ;
Camilleri, M. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2009, 31 (01) :11-19
[4]
Gastrointestinal Complications After Lung Transplantation [J].
Paul, Subroto ;
Escareno, Cesar E. ;
Clancy, Kerri ;
Jaklitsch, Michael T. ;
Bueno, Raphael ;
Lautz, David B. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2009, 28 (05) :475-479
[5]
The Incidence, Prevalence, and Outcomes of Patients With Gastroparesis in Olmsted County, Minnesota, From 1996 to 2006 [J].
Jung, Hye-Kyung ;
Choung, Rok Seon ;
Locke, G. Richard, III ;
Schleck, Cathy D. ;
Zinsmeister, Alan R. ;
Szarka, Lawrence A. ;
Mullan, Brian ;
Talley, Nicholas J. .
GASTROENTEROLOGY, 2009, 136 (04) :1225-1233
[6]
Endoscopic Pyloric Injection of Botulinum Toxin-A for the Treatment of Postvagotomy Gastroparesis [J].
Reddymasu, Savio C. ;
Singh, Shailender ;
Sankula, Rajakumar ;
Lavenbarg, Teri A. H. ;
Olyaee, Mojtaba ;
McCallum, Richard W. .
AMERICAN JOURNAL OF THE MEDICAL SCIENCES, 2009, 337 (03) :161-164
[7]
The 5‐HT<sub>4</sub> receptor agonist; tegaserod; is a potent 5‐HT<sub>2B</sub> receptor antagonist in vitro and in vivo.[J].D T Beattie;J A M Smith;D Marquess;R G Vickery;S R Armstrong;T Pulido‐Rios;J L McCullough;C Sandlund;C Richardson;N Mai;P P A Humphrey.British Journal of Pharmacology.2004, 5
[8]
A systematic review of the efficacy of domperidone for the treatment of diabetic gastroparesis [J].
Sugumar, Aravind ;
Singh, Amanpal ;
Pasricha, Pankaj Jay .
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, 2008, 6 (07) :726-733
[9]
Comparison of gastric emptying of a nondigestible capsule to a radio‐labelled meal in healthy and gastroparetic subjects.[J].B.KUO;R. W.McCALLUM;K. L.KOCH;M. D.SITRIN;J. M.WO;W. D.CHEY;W. L.HASLER;J. M.LACKNER;L. A.KATZ;J. R.SEMLER;G. E.WILDING;H. P.PARKMAN.Alimentary Pharmacology & Therapeutics.2007, 2
[10]
Post-surgical and obstructive gastroparesis [J].
Shafi M.A. ;
Pasricha P.J. .
Current Gastroenterology Reports, 2007, 9 (4) :280-285