在减肥手术后评估胃食道逆流病的交钥匙算法方法
Omar M Ghanem1, Rabih Ghazi2, Farah Abdul Razzak2
1Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Gastroenterology report
|June 12, 2023
概括
胃食道逆流性疾病 (GERD) 是减肥手术后的常见并发症. 本综述提供了手术后GERD的诊断算法,重点是袖子胃切除术和胃绕道术.
科学领域:
- 胃肠病学和腹腔外科 腹腔外科
- 消化系统健康和手术结果
背景情况:
- 腹腔外科手术,包括袖子胃切除术 (SG) 和Roux-en-Y胃绕道 (RYGB),在全球范围内越来越多地进行.
- 这些手术可能会导致胃食道逆流性疾病 (GERD) 的新发病或恶化,从而产生越来越多的术后评估需求.
- 目前,缺乏一种标准化的方法来评估腹部外科手术患者的GERD.
研究的目的:
- 审查GERD和常见的减肥手术 (SG和RYGB) 之间的关系.
- 专注于病理生理学,客观评估,以及与腹腔外科手术后GERD相关的解剖/运动障碍.
- 提出一个逐步的算法来诊断和管理GERD后SG和RYGB.
主要方法:
- 在SG和RYGB之后,文献综述侧重于GERD病理生理学.
- 分析客观的评估方法对GERD在腹部外科手术后的患者.
- 基于当前的证据开发一个诊断和管理算法.
主要成果:
- 像SG和RYGB这样的减肥手术对GERD的发展和进展有明显的影响.
- 了解解剖学和运动变化对于准确的GERD评估至关重要.
- 一种结构化,逐步的方法可以帮助诊断术后GERD的原因和指导治疗.
结论:
- 减肥手术后,GERD是一个重大问题,需要具体的评估策略.
- 拟议的算法为临床医生提供了一个框架,以便在SG和RYGB之后有效地诊断和管理GERD.
- 标准化的评估和管理对于改善减肥手术后患者的治疗结果至关重要.
相关概念视频
01:29Gastroesophageal Reflux Disease II: Clinical Features and Management
120
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
120
01:21Barrett Esophagus-II: Clinical Manifestations and Management
218
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
218
01:29Gastroesophageal Reflux Disease I: Meaning and Pathophysiology
367
Gastroesophageal Reflux Disease (GERD) involves the recurrent backflow of the stomach or duodenal contents into the esophagus, leading to troublesome symptoms and potential esophageal mucosal damage. Although GERD is often referred to as a disease, it is more accurately described as a syndrome, as it encompasses a range of symptoms and complications rather than a singular pathological entity, impacting a large number of individuals as the most prevalent upper gastrointestinal problem. Roughly...
367
01:29Endoscopic Procedures I: Esophagogastroduodenoscopy
217
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
217
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
349
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
349
01:26Endoscopic Procedures V: ERCP
445
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
445