Many patients, especially after gastric surgery, experience epigastric distension, nausea, heartburn and other discomfort, and a large amount of gastric juice will be pumped out every day, which is a good time to consider that your stomach may have temporarily stopped working. What is “gastroparesis”? Gastroparesis is a disorder of gastric power syndrome caused by non-mechanical obstruction of the residual stomach or the whole stomach after partial or abdominal surgery, with gastric emptying disorder as the main symptom. The clinical manifestations of gastroparesis: Patients mostly present with symptoms such as epigastric fullness and distension, nausea, vomiting and intractable eructation a few days after surgery, and generally the pain is not obvious, even after eating liquid or semi-liquid food and vomiting a large amount of gastric contents, which may or may not contain bile, the symptoms are temporarily relieved after vomiting, and a large amount of fluid is withdrawn by gastrointestinal decompression, 1000-3000ml per day. When gastroparesis occurs, the small intestine and colon power function are generally unaffected, so the patient can have normal anal venting and defecation. This disease is a functional lesion rather than a mechanical obstruction, and once diagnosed, it should be treated mainly by conservative treatment, i.e. non-surgical treatment. Once the diagnosis of gastroparesis is clear, the gastric tube should not be removed easily, and it is best to remove it after the symptoms are relieved and confirmed, otherwise the recovery time may be prolonged. Hypertonic warm saline or procaine gastric lavage can reduce anastomotic edema. 2. Inhibit gastric acid secretion, rehydrate, maintain water, electrolyte and acid-base balance. During the occurrence of gastroparesis, blood tests should be taken more frequently to understand the nutritional status and electrolyte level so that the medication can be adjusted at any time. 3. Give enteral nutritional support (i.e. enteral nutrient injection through jejunal nutrition tube) or intravenous nutritional support, replenish sufficient calories, proteins, vitamins and trace elements, correct negative nitrogen balance, and transfuse whole blood, plasma or albumin as appropriate. Enteral nutrition support is an effective means to treat gastroparesis, and it can be used for infusion of nutrient solution to promote the recovery of residual gastric function and improve the nutritional status of the body. 4.Application of gastrointestinal motility drugs: No drugs can directly restore the paralyzed stomach immediately after the occurrence of gastroparesis, but we will apply some drugs that promote gastrointestinal motility, such as gastrofacial injection, mosapride citrate dispersible tablets (Xinluona) or morpholine to promote the recovery of gastric motility. 5.Gastroscopy treatment: Gastroscopy is not only helpful to the diagnosis of gastroparesis, but also a moderate stimulation to the stomach wall. Some patients improve quickly after gastroscopy, but at the same time, gastroscopy treatment also has some adverse stimulation to the postoperative anastomosis recovery, so it is generally not considered first. 6.Chinese herbal medicine and acupuncture treatment: A decoction of Chinese herbal medicine can be injected into the gastric tube or nasal feeding tube to promote the recovery of gastrointestinal motility. At the same time, acupuncture treatment can be given to promote the recovery of gastric motility. 7. Psychological comfort treatment: After the occurrence of gastroparesis, many patients have anxiety, fear and negative pessimism, and these negative emotions will prolong the recovery time of gastroparesis. Therefore, patients should be encouraged and comforted, and if anxiety symptoms appear, anti-anxiety drugs can be applied. Prognosis of patients with gastroparesis: The recovery time of gastroparesis varies, but eventually they will recover. Generally, recovery is mostly within 4-5 weeks after surgery, and the slow recovery will be up to 3 months, but of course these are very few. The recovery of gastric motility often occurs suddenly in patients, and the gastric drainage is significantly reduced within 1-2 days, and symptoms such as abdominal distension and nausea are quickly relieved, so that the gastric tube can be removed and the diet can be gradually resumed.