Asian Oncol Nurs.  2017 Dec;17(4):263-269. 10.5388/aon.2017.17.4.263.

Nursing Intervention for a Delayed Gastric Emptying after Pylorus-preserving Gastrectomy for Early Gastric Cancer

• Kim DH
• Choi E

• KMID: 2401642
• DOI: http://doi.org/10.5388/aon.2017.17.4.263

Abstract

PURPOSE
The purpose of this case report is to describe the surgical procedure of pylorus preserving gastrectomy and treatment methods, and the nursing process for postoperative complications namely delayed gastric emptying.
METHODS
This case study describes the treatment methods and nursing process for a patient who visited the emergency room because of delayed gastric emptying after a pylorus preserving gastrectomy.
RESULTS
The symptoms of this patient were resolved by botox-injection, none per oral, total parenteral nutrition, nutrition education after diagnosis by using abdominal x-ray, gastric emptying study, upper gastrointestinal series, and esophagogastroduodenoscopy.
CONCLUSION
According to the result of this case study, nurses should be informed about delayed gastric emptying and how to apply the correct nursing process to the patient.

Keyword

Gastric Cancer; Gastrectomy; Postgastrectomy Syndromes

MeSH Terms

Diagnosis
Education
Emergency Service, Hospital
Endoscopy, Digestive System
Gastrectomy*
Gastric Emptying*
Humans
Nursing Process
Nursing*
Parenteral Nutrition, Total
Postgastrectomy Syndromes
Postoperative Complications
Pylorus
Stomach Neoplasms*

Figure

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  Fig. 1. Upper-gastrointestinal series showing delayed gastric emptying.

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  Fig. 2. Surgical procedure of pylorus-preserving gastrectomy (PPG)11) (reprinted, by permission, from copyright clearance center.)

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