Diagnosis and treatment of 42 patients of esophagus carcinoma and esophagogastric junction carcinoma after operation with paralysis gastroparesis syndrome / 中国综合临床

ABSTRACT

Objective To study the diagnosis and treatment in patients of esophagus carcinoma and esophagogastric junction carcinoma after operation with paralysis gastroparesis syndrome (PGS).Methods From March 1996 to December 2013 in the Affiliated Hospital of Putian University,the clinical data of PGS in 42 patients with esophagus carcinoma and esophagogastric junction carcinoma after operation were selected, and retrospectively analyzed.Results All the patients were presented with gastric retention, no obvious abdominal pain,and anal exhaust has been restored.Enteron radiography shows anastomosis and pylorus were unobstructed and gastric motility was weaken or disappear.All patients were treated with gastrointestinal decompression, nutritional support, maintaining water electrolyte metabolism balance, promoting gastrointestinal peristalsis and reducing stomach wall edema.The stomach function recovery of 40 cases was within 10-15 days, respectively.Two patients cured by pyloroplasty when they were not improved by conservative treatment for 2 months.And the stomach function recovery were within 28 days and 35 days.Conclusion Gastroparesis syndrome is a functional disease,the cure rate is high, the treatment of first choice was conservative treatment, however, for the intractable gastroparesis, pyloroplasty maybe another good choice.