A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin

HUANG Zhibin; CHEN Yan

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A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin

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A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin
1.Department of Lingnan Soil Patch Genre Studio,Guangdong Provicial Hospital of Chinese Medicine, Guangzhou 510030, China
2.Department of Spleen and stomach disease,Guangdong Provicial Hospital of Chinese Medicine, Fangcun Hospital, Guangzhou 510370, China
DOI：

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HUANG Zhibin, CHEN Yan. A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615277&Fpath=home&index=0
DOI：

HUANG Zhibin, CHEN Yan. A Medical Case of Treating Gastroparesis Syndrome After Pancreatic Neuroendocrine Tumor Surgery from Shaoyang Jueyin[DB/OL].（2023-02-27）[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=30615277&Fpath=home&index=0 DOI：

摘要

病史摘要,2,本案患者住院期间意外发现胰腺神经内分泌瘤，术前并无相关消化道症状，术后出现进食呕吐、食欲下降等肿瘤术后胃瘫综合征（Postoperative gastroparesis Syndrome，PGS）相关症状，经常规治疗效果不佳。四诊信息：面色苍白而枯槁，术后出现少食则嗳气、反胃、呕吐明显，饥饿而无食欲，大便4天一行，质硬，口干口苦，不欲饮，饮则腹胀，夜间腹部不适较为明显（隐隐刺痛），睡眠不佳，曾给予止呕、促进胃肠动力、消化酶、健脾开胃等药物处理，效果不佳，舌暗略红，苔白略干，舌底瘀络，脉浮弦滑，按之力减，右关略如豆。中医诊断　厥阴病（少阳不利，火郁厥阴，气血不畅）西医诊断　肿瘤术后胃瘫综合征干预措施　本案给予纯中药治疗，中药处方以转少阳枢机、火郁发之为主要治疗靶点，同时行气活血、养厥阴本体气血。疗效转归　一诊后呕吐消失，胃纳明显改善，2022年2月23日随访，体重较前增加约5 kg，无不适。2022年3月复查CT未见肿瘤复发。

Abstract

Summary of case history ,In this case, pancreatic neuroendocrine tumor was accidentally found during hospitalization, and there were no related digestive tract symptoms before surgery. After surgery, PGS-related symptoms such as eating, vomiting and decreased appetite appeared, and the effect of conventional treatment was not good. Four diagnosis information: pale and withered, postoperative less food is belching, nausea, vomiting is obvious, hunger and no appetite, stool 4 days / line, hard, dry mouth, bitter mouth, do not want to drink, drink is bloated, abdominal discomfort at night is more obvious (faint stinging), poor sleep, has been given anti-nausea, promote gastrointestinal motility, digestive enzymes, spleen appetizer and other drug treatment, the effect is not good, the tongue is dark and slightly reddish, the moss is slightly dry, the bottom of the tongue is stasis, the pulse is floating and slippery, according to the force reduction, the right pass is slightly like a bean,TCM diagnosis ,Jue Yin disease (unfavorable Shao Yang, fire depression Jue Yin, poor qi and blood).,Western medicine diagnosis, Postoperative Gastroparesis Syndrome (PGS).,Therapeutic methods ,In this case, pure Chinese medicine treatment was given. For the prescription of Chinese medicine, Shaoyang pivot and fire stagnation requiring dissipation were the main therapeutic target, and qi and blood circulation and qi and blood were exercised.,Clinical outcomes ,After one diagnosis, vomiting disappeared and gastric appetite improved significantly. After follow-up on 23 February 2022, her body weight increased by about 5kg with no discomfort. Repeat CT in March 2022 showed no tumor recurrence.

关键词

胰腺神经内分泌瘤肿瘤术后胃瘫综合征少阳厥阴

Keywords

Pancreatic neuroendocrine tumortumor postoperative gastric paralysis syndromeShaoYangjue Yin

references

吴文铭,陈洁,白春梅,等. 中国胰腺神经内分泌肿瘤诊疗指南(2020)[J]. 协和医学杂志,2021,12(4):460-480.

徐鹭青. 胰腺癌术后胃瘫综合征的护理[J]. 当代护士(中旬刊),2021,28(9):60-62.

Miao Y, Lu Z, Yeo C J, et al. Management of the pancreatic transection plane after left (distal) pancreatectomy: expert consensus guidelines by the International Study Group of Pancreatic Surgery (ISGPS)[J]. Surgery,2020,168(1):72-84.

Welsch T, Eisele H, Zschabitz S, et al. Critical appraisal of the International Study Group of Pancreatic Surgery (ISGPS) consensus definition of postoperative hemorrhage after pancreatoduodenectomy[J]. Langenbecks Arch Surg,2011,396(6):783-791.

Wente M N, Bassi C, Dervenis C, et al. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS)[J]. Surgery,2007,142(5):761-768.

黎官印,彭勇,马海,等. 胰十二指肠切除术后胃瘫综合征的综合治疗[J]. 肝胆胰外科杂志,2017,29(4):308-310.

林晓强. 胰十二指肠切除术后胃瘫综合征危险因素的Meta分析[D]. 福州:福建医科大学,2016.

衡永青,陈立伟,付鹏鹏. 恶性肿瘤术后胃瘫的中医研究进展[J]. 湖南中医杂志,2018,34(11):171-173.

李冬生. 胃十二指肠术后胃瘫综合征(PGS)的治疗方式及疗效[J]. 中国医药指南,2014,12(07):48-50.

左明焕,孙韬,周琴,等. 肿瘤术后胃瘫综合征中医治疗策略[J]. 中华中医药杂志,2013,28(08):2225-2227.

张玉,邵文虎. 邵文虎治疗术后胃瘫综合征经验[J]. 四川中医,2011,29(09):14-15.

高向军. 从"木不疏土"探讨肿瘤术后胃瘫综合征的证治[J]. 中国民间疗法,2017,25(05):1-2.

朱太平,朱彦昭. 中西医结合治疗腹部手术后胃瘫综合征疗效观察[J]. 中国中医药信息杂志,2009,16(12):78.

朱太平,孙艳丽,张丽. 腹部手术后胃瘫综合征运用经方辩证治疗体会[J]. 中国现代药物应用,2009,3(16):152-153.

黄蓉,张培彤,王菁,等. 基于胰腺癌的客观指标与中医证型相关性研究的概况[J]. 环球中医药,2022,15(01):147-151.

刘槟,张培彤. 胰腺癌证候研究现状评述[J]. 中医杂志,2018,59(15):1342-1345.

张娟,王鹏,刘鲁明. 胰腺癌中医证候分析[J]. 中华中医药杂志,2012,27(03):579-581.

孔燕妮,郭勇. 郭勇辨证治疗胰腺癌用药规律分析[J]. 浙江中西医结合杂志,2020,30(09):695-697.

李丽玲,万宇翔,徐林,等. 乌梅丸治疗胰腺癌理论浅析[J]. 北京中医药,2022,41(01):35-38.

张依婷,沈敏鹤,阮善明. 沈敏鹤治疗胰腺癌经验浅析[J]. 浙江中医药大学学报,2022,46(01):82-85.

马金凤,陈灵艳. 运用柴胡桂枝干姜汤治疗胰腺癌的体会[J]. 中西医结合心血管病电子杂志,2017,5(26):195-196.

李秋慧,黄智斌,陈延. 浅析李东垣调形、调气、调神"三维一体"调理观[J]. 环球中医药,2021,14(02):285-287.

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