Diagnosis And Treatment Of Delayed Gastric Emptying After Gastrectomy

Delayed gastric emptying after gastrectomy is one of the postoperative complications. It may result from many factors together, such as mental stress, pneumogastric nerve is cut down, stoma edema, hypohemia, hypoproteinemia, electrolyte disturbance, rhythm disturbance of stomach and so on. The pathogenesis of delayed gastric emptying is not clear completely. The clinical manifestation is abdominal distention, nausea and vomitus. The vomitus is gastric contents and the abdominal distention will relieve after vomiting. An upper gastrointestinal radiography and endoscopy are the important methods of diagnosis of delayed gastric emptying and differential diagnosis with mechanical ileus. Gastrointestinal motility can return spontaneously after a long period of expectant treatment and there is no need for reoperation for gastric stasis. There are some treatments of delayed gastric emptying, but the curative effect of a single one is not clear. So the combined therapy is very important to the patients with delayed gastric emptying after gastrectomy. This review articles is about the etiological factors, pathogenesis, diagnosis and treatment. The purpose is to make the patient treated in time exactly, shorten the length of stay and lessen the distress of the patient.