Nursing measures for gastroparesis caused by gastric cancer surgery

Gastroparesis is a common complication after surgical resection of gastric cancer. Patients mainly experience gastrointestinal digestive dysfunction, such as abdominal distension, nausea, vomiting, etc. Relevant care should be provided to patients after surgery to avoid aggravating the condition.

Gastrointestinal decompression tube care

In the early stage after gastric cancer surgery, due to anesthesia and other reasons, the patient's residual stomach cannot discharge gastric contents in time, which is prone to retention and dilatation of the residual stomach. Therefore, it is necessary to fast in time and continuously and effectively perform gastrointestinal decompression to relieve symptoms and improve the treatment effect. Keep the gastrointestinal decompression drainage tube unobstructed, avoid folding, twisting, and falling off, pay attention to observe and record the nature and color of the drainage fluid, and flush and clean the drainage tube regularly every day.

Parenteral Nutrition Nursing

Patients with gastroparesis have some difficulty in eating orally and need parenteral nutrition to supply the body with appropriate amounts of vitamins, trace elements and electrolytes, maintain internal environment stability and protect cell function. Pay attention to the rational allocation of nutrient solution, which is generally prepared by doctors or nutritionists. At the same time, closely monitor the patient's weight and hemoglobin level, and adjust the amount of nutrient solution in time.

Daily diet care

As the condition improves, a gradual diet plan should be developed for the patient, based on the principle of eating small meals frequently and mainly liquid food. The patient can start with 20 mL and gradually increase to full liquid food. The increase should be based on the principle of keeping the patient without discomfort. The liquid food should mainly be unsweetened rice soup and vegetable soup. The patient should sit or semi-recumbent after meals to promote gastric emptying.

Promoting gastric motility recovery care

The anastomosis of the residual stomach of patients with gastroparesis is often accompanied by congestion and edema. Gastric lavage with hypertonic saline twice a day can reduce anastomotic edema. Gastrokinetic drugs can be used as prescribed by the doctor, such as oral domperidone or the traditional Chinese medicine Dachengqi Decoction, to enhance gastrointestinal motility and promote the gradual recovery of digestive function.