title: Risk factors of gastroparesis syndrome after abdominal non-gastroduodenal operation and its prevention.
abstract: OBJECTIVE
  To investigate risk factors of gastroparesis syndrome (PGS) after abdominal non-gastroduodenal operation and its prevention.
  
  
  METHODS
  Clinical data of 22 patients with PGS after abdominal non-gastroduodenal operation was analyzed retrospectively, and compared with the patients of non-PGS after abdominal non-gastroduodenal operation during the same time. The possible influencing factors of PGS were analyzed by single factor analysis and logistic regression analysis.
  
  
  RESULTS
  All 13 selected factors related with PGS, including age, disease category (benign and malignant), operation time, intraoperative blood loss, postoperative analgesic pump, postoperative enteral nutrition time, postoperative parenteral nutrition time, perioperative blood glucose level, perioperative nutrition status (anaemia or lower proteinemia), pylorus obstruction before surgery, intra-abdominal infection after surgery, and spiritual factor were related with PGS. The statistical analysis showed that the difference was statistical significant (P<0.05), and gender had no correlation with PGS (P>0.05); non-conditional multivariate analysis showed that malignant tumor, perioperative nutrition status, pylorus obstruction, operation time, blood loss, intra-abdominal infection after surgery, and mental factor were significant related with PGS as dependent variable and related risk factors in single factor analysis as independent variables (P <0.05).
  
  
  CONCLUSIONS
  PGS is a result of multiple factors, and among these factors, malignant tumor, poor nutrition status, pylorus obstruction before surgery, longer operation-time, more blood loss, intra-abdominal infection after surgery, and mental factor are major risk factors of PGS.
authors.affiliation: First Affiliated Hospital, Hebei North University, Zhangjiakou 075000, Hebei, China. ydd8048869@163.com
authors.forename: Dong-Dong
authors.initials: DD
authors.lastname: Yang
authors.forename: Kun
authors.initials: K
authors.lastname: He
authors.forename: Xue-Liang
authors.initials: XL
authors.lastname: Wu
authors.forename: Li-Kun
authors.initials: LK
authors.lastname: Yang
authors.forename: Shuang-Fa
authors.initials: SF
authors.lastname: Nie
mesh_terms: D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D005260:Female; D018589:Gastroparesis / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012189:Retrospective Studies; D012307:Risk Factors