Abstracts Open Access
Copyright ©The Author(s) 1996. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 15, 1996; 2(Suppl1): 200-200
Published online Sep 15, 1996. doi: 10.3748/wjg.v2.iSuppl1.200
Dysmotility of remains of stomach in patients after proximal gastrectomy
Xu-Dong Zhang, Hai-Hang Zhu, Xi-Zhi Chen, Deng-Luan Li, North Jiangsu Hospital, Yangzhou Medical College, Yangzhou 225001, Jiangsu Province, China
Author contributions: All authors contributed equally to the work.
Received: December 11, 1995
Revised: January 21, 1996
Accepted: June 9, 1996
Published online: September 15, 1996

Abstract

AIM: In order to explain improvement of dyspeptic symptoms in patients with proximal gastrectomy, the gastric emptying, electrogastrography (EGG) and effect of cisapride were studied in 16 cases with radiopaque markers.

RESULTS: The findings showed that the early post operation gastric emptying in patients was the same as that in controls, but later post operation gastric emptying was significantly delayed (P < 0.01). It is suggested that the loss of fundus storage function and the decrease of gastric peristalsis after proximal gastrectomy may affect the gastric emptying. EGG showed that 13 cases (81.2%) were gastric dysrhythmias. Further studies showed that there was no one to one correlation between the EGG and gastric emptying. A normal EGG recording may not guarantee normal gastric emptying. We found that cisapride significantly increased the rate of gastric emptying (P < 0.05) but did not reach the normal levels, and improved the gastric dysrhythmias and dyspeptic symptom in a great number of patients with proximal gastrectomy.

Key Words: Gastrectomy, Gastric emptying, Electrogastrography, Cisapride



Footnotes

Original title: China National Journal of New Gastroenterology (1995-1997) renamed World Journal of Gastroenterology (1998-).

E- Editor: Liu WX

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