What are the typical symptoms of gastric retention4If there is vomiting of food residue, there is a sound of borborygmi in the abdomen when fasting, which indicates gastric retention, and eating
hours, which can be confirmed by extracting food from the stomach.4Ώρες μετά παραμένει50% ή6During gastrointestinal barium meal examination, barium can be drawn from the stomach cavity through the gastric tube after
1Vomiting is the main manifestation of this disease, which can occur at any time of the day or night, and if it has not been emptied after one hour, it is a sign of this disease. Attention should be paid to the differentiation between organic and functional retained gastric juice, the former with increased gastric peristalsis, and the latter with decreased gastric tension and reduced peristalsis.1After several times, the vomitus is often food residue, generally without bile, with upper abdominal fullness and pain, and abdominal pain can be dull, cramping, or burning pain. After vomiting, the symptoms can temporarily relieve, and acute patients can lead to dehydration and electrolyte metabolism disorders; chronic patients may have malnutrition and weight loss, and severe or long-term vomiting can cause alkalosis due to the loss of a large amount of gastric acid and potassium ions, leading to convulsions of the hands and feet.
2Physical examination shows signs of dehydration, upper abdominal distension, epigastric tenderness with borborygmi, visible gastric shape, and enhanced peristalsis from left to right, which often suggests an obstruction at the gastric outlet; if only the gastric shape is seen without peristalsis, it suggests hypotension of the stomach.