[Clinical analysis of 18 cases with postsurgical gastroparesis syndrome after pancreaticoduodenectomy].

OBJECTIVE: To investigate the prevention and treatment for postsurgical gastroparesis syndrome (PGS) after pancreaticoduodenectomy. METHODS: The data of 18 PGS cases after pancreaticoduodenectomy were analyzed. RESULTS: PGS of these 18 patients occurred within 4-10 days after operation. All of the PGS patients were cured with mean 25.4 days by conservative therapy and no one received re-operation. PGS was closely associated with the operation procedure (chi(2)=3.90, P<0.05)and postoperative complications (chi(2)=3.92, P<0.05). CONCLUSIONS: Incidence of PGS can be decreased by improvement of surgical procedure and prevention of abdominal complications. PGS can be cured by conservative therapy generally. Re-operation should be avoided.