Volume 10,Issue 8
Clinical Research and Integrated Management of Post-surgical Gastroparesis after Colon Cancer Resection
Postsurgical gastroparesis syndrome (PGS) is a gastric motility disorder with non-mechanical gastric outlet obstruction that occurs following colon cancer resection. Although its incidence is said to be less than that of post-upper abdominal surgeries, its onset may cause a significant delay in postoperative progress and prolong hospitalization, and could also potentially delay the initiation of adjuvant chemotherapy. In this review, we present a systematic overview of the etiological mechanisms, diagnostic modalities, possible prevention, and a comprehensive Therapeutic approach for PGS in the context of colon cancer, putting a special emphasis on the possible detrimental impact of lymphadenectomy on the perigastric neural innervation and vascular supply in right-sided colon cancer procedures. We endeavor to provide practical references for the early clinical recognition and the standardized management of this challenging complication.
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