The etiology prevention and treatment of gastric emptying dysfunction Causes and prevention of gastric emptying dysfunction after pyloric preserving gastrectomy

doi:10.3877/cma.j.issn.1674-3946.2021.02.030

Abstract

Abstract:

Pylorus-preserving gastrectomy(PPG) for early gastric cancer(EGC) can significantly improve postoperative quality of life and reduce the incidence of postoperative dumping syndrome, bile reflux and cholelithiasis by reducing the scope of gastrectomy, pyloric spare-gastrectomy and vagus nerve spare-gastrectomy. Laparoscopic assisted Pylorus-preserving gastrectomy (LAPPG) combines minimally invasive concepts and functional retention with low invasiveness, minimal intestinal paralysis, and early postoperative gastric empty dysfunction (GEF), which is characterized by prolonged retention of food in the residual stomach and a general feeling of satiety in patients. This article reviews the study of gastric emptying dysfunction after PPG in recent years, and provides recommendations for clinical first-line surgeons to treat gastric emptying dysfunction after PPG or LAPPG treatment of early gastric cancer.

Key words: Stomach neoplasms, Early diagnosis, Gastric emptying dysfunction, Pylorus-preserving gastrectomy, Prevention and treatment

Jiajie Zhou, Liuhua Wang, Dongliang Li, Daorong Wang. The etiology prevention and treatment of gastric emptying dysfunction Causes and prevention of gastric emptying dysfunction after pyloric preserving gastrectomy[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2021, 15(02): 228-231.

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