全胃切除后对人体有哪些影响 闫志峰 山西省肿瘤医院

Описание: 全胃切除后对人体有哪些影响 闫志峰 山西省肿瘤医院
全胃切除后对人体的影响：可能出现倾倒综合征：全胃切除术后短期三个月内进食量少，以软质、易消化食物为主，尤其是术后一个月不限种类，患者家属术后一直给患者喝粥，没有营养进食，患者体重下降明显，重点是细嚼慢咽，小口少量，患者一般术后三月，半年后基本恢复到每日三餐，另外缺铁性贫血患者的胃切除术后，影响了人体对铁的吸收，因为饮食中铁元素为三价铁，而人体造血细胞，所需要的是二价铁，因此少部分患者需要口服铁剂，反流性食管炎，少部分胃切除患者会有胆汁反流进入食管损伤食管粘膜，患者会有胸骨后烧灼感，建议患者进食后不要平躺，适当活动，口服食管粘膜保护剂，倾倒综合征的发生是由于胃内容量变小，使食物在胃内存留时间短，迅速地送入肠内，肠管为尽快地将大量食物，加以消化吸收，就要大量分泌消化液，特别是作为主食的碳水化合物，在肠道内很快被吸收，在短时间内的吸收大量的碳水化合物会出现血糖升高的现象，这就是早期倾倒综合征。

What are the effects on human body after total gastrectomy
Effect on human body after total gastrectomy: dumping syndrome may occur: the amount of food eaten is less within three months after total gastrectomy, Mainly soft and digestible food, Especially one month after operation, The patient's family members always give the patient porridge after the operation, No nutrition, The patient's weight loss was significant, The point is to chew slowly, Small mouth, Three months after operation, Half a year later, it basically recovered to three meals a day, In addition, patients with iron deficiency anemia after gastrectomy, It affects the absorption of iron by human body, Because the iron element in diet is trivalent iron, And human hematopoietic cells, What we need is ferrous iron, So a small number of patients need oral iron, Reflux esophagitis, A small number of patients with gastrectomy will have bile reflux into the esophagus to damage the esophageal mucosa, The patient will have a burning sensation behind the sternum, Patients are advised not to lie on their back after eating, Appropriate activities, Oral esophageal mucosal protective agent, Dumping syndrome occurs because the volume of the stomach becomes smaller, Keep food in the stomach for a short time, Quickly into the intestine, In order to quickly increase the amount of food, To digest and absorb, We need to secrete a lot of digestive fluid, Especially as a staple carbohydrate, It's quickly absorbed in the gut, In a short period of time, the absorption of a large number of carbohydrates will lead to the rise of blood sugar, This is early dumping syndrome.