The postoperative stomach pours out the _ prevention and health care of syndrome

The postoperative stomach pours out the _ prevention and health care of syndrome
Pour out syndrome, mean, excise, coincide with intestines and stomach postoperative in stomach, because patient lose pylorus or normal physiological function of stomach, chyme is poured out to duodenum or jejunum and a series of symptom caused suddenly in the stomach. Because its diagnostic standard is not enough to unify, so every report of morbidity differs greatly. According to clinical observation, the more excising amount of stomach is, the larger the identical mouth is, the higher its morbidity is, and the gastrectomy morbidity of keeping pylorus is relatively low. As time goes on, patients can get used to the regulation of oneself's diet gradually, in order to control emergence of symptom, so postoperative time the longer, the lower the morbidity is.
Pour out clinical manifestation of syndrome, take place on stomach excising patient resume take food, from postoperative the first week to the third week more, a few can see that happen in several years after the operation. Often after about half an hour especially eat a large amount of carbohydrate after the meal, abdominal distension in patient sense and it is glutted and uncomfortable, sick with pain,when vomit companion, belch, borborygmus airs bloated, there was frequent defecaion desire immediately, and saw that sucked diarrhoea not digesting the food for the severalth time in succession, most patients present giddy, dizzy, weak and feeble at the same time, even tremble, faint, accompany the intersection of face and ruddy or pale and tachycardia, can have blood pressure drop while being getting serious.
Can dispel symptom or avoid breaking out rapidly for a moment if couch after the meal, while happening while having meal, should stop taking food immediately, generally symptom all disappear within an hour.
With what factors pour out the emergence of syndrome to have something to do with?
It may relate to following factors to pour out the emergence of syndrome:
(1)Blood glucose and blood capacity: Because it is postoperative for stomach to excise, the patient has lost regulating function of pylorus, the incomplete stomach volume dwindles, and fan's absent-minded relaxation influenced the stomach after the meal after the excision, so that a large amount of high oozing chyme is put into duodenum or jejunum suddenly after the food, oozing the extracellular fluid in candy and enteric wall to exchange rapidly high in enteric, in order to permeate the equilibrium pressed while keeping intestines content thing and enteric wall, and can cause obviously raising, blood capacity of blood glucose to drop, swell with the intestines.
(2)The function of digestive tract hormone: The person who gives future trouble of the gastrectomy drinks 4.5% glucose solution 220ml, and fetch blood sample once respectively after empty stomach 15 minutes, 60 minutes and 120 minutes, employ and radiate vaccinating, can measure the plain increase of angiasthenia in all person who pours out syndrome blood, but there is no person who pours out syndrome to deny, and give normal people quiet note bradykinin to can produce and greatly admire the blood vessel with same syndrome and react. Clinical observation still finds, pour out syndrome closely related to bradykinin level in the blood, it is penetrating that angiasthenia is plain to increase peripheral blood flow volume and capillary, and can strengthen the smooth muscle of digestive tract to shrink, therefore can present relaxation one and gastrointestinal symptom of blood vessel. So, does someone think, are emergence and angiasthenia of the symptom of this evidence plain? The activity of bradykinin system has something to do. In addition, someone thinks, the emergence of this evidence is still with active intestines peptide (VIP) of blood vessel , intestines glucagon, nerve step down hormone such as being plain increase and have something to do, not obtained the clear conclusion.
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