Abstract:Objective:To explore the etiology, diagnosis and treatment of functional delayed gastric empting(FDGE) after nongastrectomy abdominal operation.
Methods :The clinical data of twenty-eight patients with FDGE in our hospital from Dec.1995 to Jan. 2007 were analyzed retrospectively.
Results:FDGE usually occurred at 4~16 days postoperatively. lt was characterized by upper abdominal distension, vomiting, loud gastric splashing sound, and large amount of gastric drainage ranging from 1 000 to 2 500mL per day. Tweenty-one cases(75.0%) were diagnosed by gastroscopy and 7(25.0%) by barium meal. All the patients recovered with conservative treatment, and gastric motility was restored at 6-38 d (average 7.6 d) after operation in all the cases.
Conclusions:The etiology of FDGE after nongastrectomy abdominal operation is related to multiple factors. Gastroscopy is valuable in the diagnosis and treatment of FDGE. FDGE can be cured by nonsurgical treatment.