Chinese expert consensus on diagnosis and treatment of postoperative gastroparesis syndrome in cancer patients with Traditional Chinese and Western Medicine(2022 edition)
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摘要: 术后胃瘫综合征是腹部手术后常见的并发症之一，一般是由非机械性梗阻因素引起、以胃排空障碍为主要征象的胃动力紊乱综合征，严重影响患者的生活质量，同时导致住院时间延长、住院费用增加。术后胃瘫的发生可能与交感神经激活、胃十二指肠运动失调以及内环境紊乱有关，是包括手术方式和消化道重建在内的多种因素综合作用的结果。胃瘫的诊断以临床表现和影像学等辅助检查发现胃潴留和胃排空延迟为主。目前胃瘫的治疗主要是中西医保守治疗，包括促胃肠动力药物、中药和针灸的联合治疗以及多种治疗措施的综合治疗。Abstract: Postoperative gastroparesis syndrome is one of the common complications after abdominal surgery. It is generally a gastric motility disorder syndrome with gastric emptying disorder as the main symptom caused by non-mechanical obstructive factors, which seriously affects the quality of life of patients, resulting in prolonged hospitalization and increased costs. The occurrence of postoperative gastroparesis may be related to sympathetic nerve activation, gastroduodenal motility disorder, and internal environment disturbance, which is the result of the combined effects of various factors, including surgical approaches and digestive tract reconstruction. The diagnosis of gastroparesis is mainly based on the findings of gastric retention and delayed gastric emptying by clinical manifestations and auxiliary examinations such as imaging. The current treatment plan for gastroparesis is mainly conservative treatment of Traditional Chinese and Western Medicine, including gastrointestinal motility drugs, combined treatment of Traditional Chinese Medicine and acupuncture, and comprehensive treatment of various treatment measures.
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Key words:
- gastric cancer /
- gastroparesis syndrome /
- etiology /
- diagnosis /
- treatment
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