Clinical practice of MDT in hypothyroidism complicated with postoperative gastroparesis syndrome after radical resection of right colon cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

JIANG Enlai ¹ , WANG Shuai ¹ , QIU Yuan ¹ , ZHANG Rui ² , WANG Guangxian ³ , TANG Xuefeng ⁴ , BAI Qian ⁵ , YANG Hua ¹ ,  XIAO Weidong ¹

1. Department of General Surgery, Xinqiao Hospital of Army Military Medical University, Chongqing 400037, P. R. China;
2. Department of Endocrinology, Xinqiao Hospital of Army Military Medical University, Chongqing 400037, P. R. China;
3. Department of Radiology, Xinqiao Hospital of Army Military Medical University, Chongqing 400037, P. R. China;
4. Department of Pathology, Xinqiao Hospital of Army Military Medical University, Chongqing 400037, P. R. China;
5. Department of Nutrition, Xinqiao Hospital of Army Military Medical University, Chongqing 400037, P. R. China;

Corresponding?author：

XIAO Weidong, Email: weidongxiao@126.com

Keywords：

multi-disciplinary; hypothyroidism; right colon cancer; postoperative gastroparesis syndrome

DOI：

10.7507/1007-9424.201807066

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To summarize clinical diagnosis and treatment of 1 case of hypothyroidism complicated with postoperative gastroparesis syndrome (PGS) after radical resection of right colon cancer. Method The multi-disciplinary (MDT) mechanism was used to discuss the MDT consultations of the departments of general surgery, endocrinology, nutrition, radiology, and pathology in a patient with hypothyroidism and right colon cancer after the radical resection. Results The MDT discussion concluded that the patient had a clear diagnosis of right colon cancer before the surgery, and the PGS occurred after the radical resection of right colon cancer. The patient had the hypothyroidism before the operation, and the occurrence of PGS might be related to the hypothyroidism. The experts of MDT recommended to treat with the thyroxine sodium and nutritional support treatment after the surgery. According to the results of the MDT discussion, the patient’s PGS was gradually cured and discharged smoothly after the thyroxine supplementation and nutritional support. Conclusions Hypothyroidism may be a risk factor for occurrence of PGS after radical resection of right colon cancer. MDT mechanism can provide an individualized optimal treatment for patients with hypothyroidism complicated with PGS after radical resection of right colon cancer and benefit these patients.

Citation： JIANG Enlai, WANG Shuai, QIU Yuan, ZHANG Rui, WANG Guangxian, TANG Xuefeng, BAI Qian, YANG Hua, XIAO Weidong. Clinical practice of MDT in hypothyroidism complicated with postoperative gastroparesis syndrome after radical resection of right colon cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(11): 1366-1371. doi: 10.7507/1007-9424.201807066 Copy

1.	鄒宏雷, 杜鵑. 腹部手術后胃癱的診治分析23例報道. 中國普外基礎與臨床雜志, 2012, 19(10): 1148.
2.	Diaz A, Lipman Diaz EG. Hypothyroidism. Pediatr Rev, 2014, 35(8): 336-347.
3.	高琪, 吳云樺, 陳南征, 等. 胃癌術后影響胃癱發生的多因素分析. 中國普外基礎與臨床雜志, 2016, 23(8): 926-930.
4.	Meng H, Zhou D, Jiang X, et al. Incidence and risk factors for postsurgical gastroparesis syndrome after laparoscopic and open radical gastrectomy. World J Surg Oncol, 2013, 11: 144.
5.	羅應超, 陳國強, 張金強. 結腸癌術后胃癱早期腸內營養患者的效果分析. 嶺南急診醫學雜志, 2015, 20(3): 198-199.
6.	劉特彬, 李曉輝. 結直腸癌根治術后胃癱綜合征21例診治分析. 中華普通外科學文獻(電子版), 2011, 5(4): 312-314.
7.	宋彬, 蘇妍卓, 舒振波, 等. 遠端胃切除術后胃癱綜合征的危險因素分析. 中國普外基礎與臨床雜志, 2016, 23(1): 94-96.
8.	Zheng LJ, Ma JC, Fang D, et al. The quantification and assessment of depression and anxiety in patients with postoperative gastroparesis syndrome. Ther Clin Risk Manag, 2018, 14: 551-556.
9.	劉德連, 張學偉, 呂方啟. 胃癌術后胃癱發生的影響因素分析. 中華腫瘤雜志, 2017, 39(2): 150-153.
10.	陳海軍. 手術后胃癱的診斷與治療. 中國普外基礎與臨床雜志, 2003, 10(6): 608-609.
11.	張蓬波, 任澤強. 腹部手術后胃癱綜合征的臨床診治. 中國普外基礎與臨床雜志, 2010, 17(9): 976-977.

1. 鄒宏雷, 杜鵑. 腹部手術后胃癱的診治分析23例報道. 中國普外基礎與臨床雜志, 2012, 19(10): 1148.
2. Diaz A, Lipman Diaz EG. Hypothyroidism. Pediatr Rev, 2014, 35(8): 336-347.
3. 高琪, 吳云樺, 陳南征, 等. 胃癌術后影響胃癱發生的多因素分析. 中國普外基礎與臨床雜志, 2016, 23(8): 926-930.
4. Meng H, Zhou D, Jiang X, et al. Incidence and risk factors for postsurgical gastroparesis syndrome after laparoscopic and open radical gastrectomy. World J Surg Oncol, 2013, 11: 144.
5. 羅應超, 陳國強, 張金強. 結腸癌術后胃癱早期腸內營養患者的效果分析. 嶺南急診醫學雜志, 2015, 20(3): 198-199.
6. 劉特彬, 李曉輝. 結直腸癌根治術后胃癱綜合征21例診治分析. 中華普通外科學文獻(電子版), 2011, 5(4): 312-314.
7. 宋彬, 蘇妍卓, 舒振波, 等. 遠端胃切除術后胃癱綜合征的危險因素分析. 中國普外基礎與臨床雜志, 2016, 23(1): 94-96.
8. Zheng LJ, Ma JC, Fang D, et al. The quantification and assessment of depression and anxiety in patients with postoperative gastroparesis syndrome. Ther Clin Risk Manag, 2018, 14: 551-556.
9. 劉德連, 張學偉, 呂方啟. 胃癌術后胃癱發生的影響因素分析. 中華腫瘤雜志, 2017, 39(2): 150-153.
10. 陳海軍. 手術后胃癱的診斷與治療. 中國普外基礎與臨床雜志, 2003, 10(6): 608-609.
11. 張蓬波, 任澤強. 腹部手術后胃癱綜合征的臨床診治. 中國普外基礎與臨床雜志, 2010, 17(9): 976-977.

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CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical practice of MDT in hypothyroidism complicated with postoperative gastroparesis syndrome after radical resection of right colon cancer

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