| Objective To investigate the risk factors of gastroparesis in patients with gastric cancer after radical subtotal gastrectomy. Methods A total of 316 patients with gastric cancer who received radical distal subtotal gastrectomy for gastric cancer from August 2012 to June 2018 were selected from the Department of General Surgery of Lu'an Hospital Affiliated to Anhui Medical University. The clinical data of the patients were retrospectively analyzed, and the risk factors of postoperative gastroparesis were statistically analyzed. Results Twenty-six patients had gastroparesis after operation, with an incidence of 8.23%.The difference in age, tumor diameter, operation time, anastomosis mode, postoperative analgesic pump use, postoperative fluid volume, preoperative pyloric obstruction, anxiety, diabetes patients with gastroparesis was compared, and the difference was statistically significant (P<0.05). Among them, preoperative combined pyloric obstruction (OR=4.989), history of diabetes mellitus (OR=10.402), anxiety (OR=3.152), advanced age (OR=7.833), postoperative analgesic pump use (OR=9.681) and bi Ⅱ anastomosis (OR=1.813) were independent risk factors for postoperative gastroparesis(P<0.05).Conclusion Attention should be paid to the risk assessment of diabetes patients, and timely health guidance, reasonable digestive tract reconstruction, and reducing the use of postoperative analgesic pump can reduce the incidence of postoperative gastroparesis. |
