Analysis Of Risk Factors And Prevention For Postsurgical Gastroparesis Syndrome After Radical Subtotal Gastrectomy

Objective:This study was undertake to study the cases of gastroparesis syndrome after radicalsubtotal gastrectomy in our department,and to study the possible risk factors whichinfluence the development of postoperative gastroparesis, and determine the preventivemeasure of it.Methods:Through the retrospectively analysis of324patients who had the radical subtotalgastrectomy in QianFoShan Hospital in Shandong Province from2010to2013, there were13cases of PGS. Among them,8cases were male patients, and5cases were femalepatients; their ages range from41to72years old, average age was58.58years old. Usingthe retrospective analysis method, statistical analysis patients’ sex, age, anemia, pyloricobstruction, digestive tract reconstruction, hypoproteinemia and surround operation periodhigh blood sugar, according to the above factors they were divided into PGS group and nonPGS group,the statistics of line of ⅹ2test, P <0.05for significant difference standard.Results：There were13patients occurred postoperative gastroparesis syndrome after subtotalgastrectomy.Onset time was6d-14d after surgery,many patients present symptoms whenpatients consume liquid or semi-liquid diet,performance as abdominal fullness,dullpain,belching acid reflux,then vomiting of food with gastric juices and bile.All patientswere cured with conservative treatment,Recovery time was10d-31d after surgey,an averageof18d. The statistical analysis showed that anemia, pyloric obstruction, digestive tractreconstruction, surround operation period high blood sugar and other factors were the risk factors on PGS; and the patient’s sex, age had little impact on PGS.Conclusions:Gastroparesis syndrome after subtotal gastrectomy is caused by severalfactors.Billroth II’s anastomosis, surround operation period high blood sugar,hypoalbuminemia and other factors is related to postoperative gastroparesis syndrome. Forthe risk factors,appropriate use of interventions,can effectively reduce the occur ofpostoperative gastroparesis syndrome after subtotal gastrectomy.Clinically,gastroparesissyndrome after subtotal gastrectomy can be defined as delayed gastric empting.Presently,their timely and accurate clinical diagnosis was still difficult,treatment is stillmainly to support the resumption.In the course of treatment,other than mechanicalobstruction, the patience is very important.