GASTRIC DYSRHYTHMIAS FOLLOWING PYLORUS-PRESERVING PANCREATICODUODENECTOMY - POSSIBLE MECHANISM FOR EARLY DELAYED GASTRIC-EMPTYING

被引:84
|
作者
HOCKING, MP
HARRISON, WD
SNINSKY, CA
机构
[1] UNIV FLORIDA,DEPT SURG,GAINESVILLE,FL 32610
[2] UNIV FLORIDA,DEPT GASTROENTEROL,GAINESVILLE,FL 32610
关键词
duodenal carcinoma; gastric dysrhythmias; gastric emptying; pylorus-preserving pancreaticoduodenectomy;
D O I
10.1007/BF01536411
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Transient delayed gastric emptying is reported as a frequent complication following pancreas-preserving pancreaticoduodenectomy (PPW). We placed serosal electrodes on the stomach of a patient undergoing PPW. Myoelectric recordings were obtained postoperatively and correlated with simultaneous radionuclide liquid gastric emptying studies. The patient developed early postoperative gastric atony, associated with frequent gastric dysrhythmias. These dysrhythmias may have been exacerbated by a perihepatic abscess. The gastric dysrhythmias correlated with alterations in liquid gastric emptying. Gastric dysrhythmias may be a mechanism for gastric dysfunction in the early postoperative period. © 1990 Plenum Publishing Corporation.
引用
收藏
页码:1226 / 1230
页数:5
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