Relation Between Gastrointestinal Reconstruction And Gastric Paralysis After Gastric Cancer Surgery

Objective:Gastric palsy syndrome(PGS)is a common postoperative complication of abdominal surgery such as the gastrointestinal tract.It is one of the major complications of gastric cancer.This study retrospectively analyzed the incidence of gastric palsy and gastric cancer.The relationship between postoperative gastrointestinal reconstruction methods is proposed for clinical prevention and treatment strategies and provides a reference to reduce the incidence of gastric paralysis after gastric cancer as much as possible.Method:A retrospective analysis of 285 patients undergoing gastrointestinal reconstruction after gastrointestinal surgery in our hospital from January 2016 to October 2019.32 patients with gastric paralysis were included in the study group.253 patients were included in the control group,with reference to relevant clinical studies and combined with clinical experience,to summarize and analyze relevant factors that may affect the occurrence of gastroparesis,including age,gender,perioperative blood glucose,preoperative pyloric obstruction,and perioperative plasma albumin,Preoperative anemia,intraoperative digestive tract reconstruction method,anastomotic suture method,history of hypertension,operation time,intraoperative blood loss,postoperative complications,postoperative analgesia pump application,etc.,statistics on the occurrence of gastroparesis and various factors Relevance.The SPSS 25.0 statistical software was used to perform a ?2 test on the above-mentionedsingle factors to find the risk factors that may cause gastroparesis when P <0.05,and then performed logistic regression analysis again to study the impact of the risk factors on gastroparesis and summarize preventive solution.Result:The incidence of gastric palsy in this study was 11.23%(32/285),of which81.25%(26/32)of gastric palsy occurred 7-10 days after operation,and 15.63% of gastric palsy occurred 10-15 days after operation(5 / 32),all patients with gastric paralysis returned to normal gastric function after conservative treatment,and there were no cases of secondary surgery.The results of one-factor chi-square test analysis of gastroparesis showed: perioperative hypoproteinemia preoperative pyloric obstruction,intraoperative gastrointestinal reconstruction,and perioperative hyperglycemia,postoperative abdominal complications,and the use of analgesic pumps were all related factors of gastric paralysis,which had statistical significance(P <0.05).Further logistic regression analysis showed that perioperative hypoalbuminemia(ALB <30g / L),preoperative pyloric obstruction,Billroth ?anastomosis,perioperative hyperglycemia,postoperative abdominal complications,and use of analgesic pump were Risk factors for gastroparesis(OR> 1,P <0.05).Conclusion:Gastric palsy complicated with gastrointestinal reconstruction after gastric cancer surgery is not a single precipitating factor.The combined effect of multiple factors is an important cause of gastric palsy.Logistic regression analysis in this study showed that perioperative hypoalbuminemia(ALB <30g / L),preoperative pyloric obstruction,Billroth ? anastomosis,perioperative hyperglycemia,postoperative abdominal complications,and analgesic pump The use of 6 factors is a risk factor for gastric paralysis.In response to the above risk factors,effective measures should be taken toactively prevent the occurrence of gastroparesis and reduce the incidence of gastroparesis.Early treatment of gastroparesis should be performed to promote the recovery of gastric function in patients after surgery.At present,conservative treatments such as enteral nutrition and gastric motility drugs have achieved good results in the treatment of gastric paralysis.On the premise of excluding mechanical gastric motility disorders caused by obstruction,actively take measures to treat,to promote gastric motility recovery and avoid secondary Surgery is of great significance.