胃繞道術後納差腹脹之中醫診療病例報告

Chinese Medicine Improving Poor Appetite and Abdominal Fullness after Surgery of Gastric Bypass: A Case Report

韓克文(Ko-Wen Han) ； 許中嚴(Chung-Yen Hsu) ； 許中華(Chung-Hua Hsu) ； 廖麗蘭(Li-Lan Liao)

《中醫內科醫學雜誌》 7卷2期 (2009/12) Pp. 51-59

https://doi.org/10.7102/JTCIM.200912.0051

摘要

胃繞道手術為目前病態性肥胖外科治療的重要方法且已逐漸成為主流之一，然不過的腸胃道症狀仍困擾著患者而降低了術後的生活品質。本文報告一位60歲男性，因病態性肥胖接受腹腔鏡胃繞道手術後，食欲差及腹脹持續一年餘並在近兩個月有加劇趨勢，進而至本院中醫門診就醫，經診斷為中醫痞證範疇，證型屬脾胃處寒，食積氣滯，遂以理中湯加減治療，病情得到部分緩解。本文並對相關文獻作一介紹及討論。

關鍵字

納差 ； 腹脹 ； 痞證 ； 胃繞道手術Gastric Bypass ； 理中湯

並列摘要

Surgery of gastric bypass so far has been the important way and one of the main streams to treat pathologic obesity. However, gastrointestinal discomfort still bothered the patients and reduces life quality after the surgery. This article reported a 60-year-old patient, whom suffered from laparoseopie Roux-en-Y gastric bypass due to pathologic obesity. After the surgery, poor appetite was noted with abdominal fullness for more than one year. The condition became worse during these two months. Therefore, he came to our outpatient department of Chinese medicine. Gastric stuffiness^11(痞證) was diagnosed with the syndrome type of spleen-stomach deficiency cold, food accumulation and qi stagnation pattern (脾胃虛寒, 食積氣滯), then modified formula of middle-regulated soup (理中湯加減) were prescript. Some of the symptoms relieved. We also have introduced and discussed related topics.

並列關鍵字

poor appetite ； abdominal fullness ； gastric stuffiness ； gastric bypass ； middle-regulated soup