[Clinical analysis of gastroparesis syndrome after nongastrectomy abdominal operation: a report of 22 cases].
OBJECTIVE
To investigate the causes, diagnosis and treatment of gastroparesis syndrome after nongastrectomy abdominal operation.


METHODS
The clinical data of 22 cases with gastroparesis syndrome after nongastrectomy abdominal operation from 1972 to 2004 were retrospectively analyzed.


RESULTS
Gastroparesis syndrome after nongastrectomy abdominal operation often occurred during 4-6 days postoperatively when the patients began to take in food, characterized by upper abdominal distension, nausea, vomiting, strong splashing bowel sound, weak bowel sound and large quantity of gastric drainage ranging from 1000 to 3000 ml every day. Barium meal was valuable not only in the diagnosis but also effective for promoting gas motility. It revealed a non-peristaltic, flabby and static stomach, and retention of contrast medium in the stomach even 5-6 hours later. All the patients recovered through non-operative therapy for 5-25 days including continuous gastrointestinal decompression, TPN and gastro-intestinal dynamic medicine.


CONCLUSIONS
The causes of gastroparesis syndrome after nongastrectomy abdominal operation are multifactorial, most of such patients can be cured by non-operative therapy.
Yang
Wei-liang
WL
Department of General Surgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, China. wlyang_2008@.com
Yan
Chao-qi
CQ
Zhang
Dong-wei
DW
Ma
Yu-lin
YL
D034841:Abdominal Cavity / Q000601:surgery*; D000328:Adult; D000368:Aged; D005260:Female; D018589:Gastroparesis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies