论文部分内容阅读
目的:探讨食管癌术后胃排空障碍的发生原因及治疗措施。方法:本组8例采用食管癌切除胃食管吻合,其中颈部吻合7例,胸内主动脉弓上吻合1例。功能性胃排空障碍6例,给予禁食、胃肠减压、静脉高营养、经十二指肠营养管注入流质饮食。机械性胃排空障碍2例,给予手术治疗,行胃空肠吻合、松解粘连使胃张力减低。结果:本组均治愈。结论:食管癌术后胃排空障碍多见于颈部吻合患者,多为功能性,一般行保守治疗,个别为机械性,必须尽早手术。
Objective: To investigate the cause and treatment of gastric emptying disorder after esophageal cancer surgery. Methods: The group of 8 patients with esophagectomy gastroesophageal anastomosis, including 7 cases of cervical anastomosis, thoracic aortic arch anastomosis in 1 case. Functional gastric emptying in 6 cases, given fasting, gastrointestinal decompression, intravenous nutrition, the duodenal feeding tube into the liquid diet. Mechanical gastric emptying in 2 cases, given surgical treatment of gastric jejunal anastomosis, loosen gastric adhesions to reduce gastric tension. Results: This group were cured. Conclusion: The gastric emptying disorder after esophagectomy is more common in patients with cervical anastomosis, mostly functional, generally conservative treatment, individual mechanical, must be as soon as possible surgery.