带心脏衰竭为后垂直袖胃切除术胃食道逆流胃食道逆流
Emily E Mackey1, Fiona J Dore1, John F Kelly1
1Department of Surgery, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Surgical endoscopy
|July 5, 2023
概括
带性心脏衰竭在VSG手术后为GERD提供了一个新的解决方案. 这种手术有助于患者减少或停止酸性反流药物治疗,避免其他手术的风险.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 垂直袖胃切除术 (VSG) 是一种流行的减肥手术,但可以使胃食道逆流症 (GERD) 恶化.
- 传统的抗逆流体手术不适合VSG患者,而磁性关节增大等替代方案缺乏长期数据.
- 转换为Roux-en-Y胃绕道 (RNYGB) 是VSG后耐火性GERD的一个选择,但存在重大风险.
研究的目的:
- 评估结带性心脏衰竭在治疗具有VSG病史的患者中医疗耐药性GERD的疗效.
- 评估带带心脏衰竭的安全性和有效性,作为RNYGB的替代方案,用于VSG后的GERD.
主要方法:
- 对那些接受了腹腔镜或机器人VSG,随后为GERD进行了带外心力衰竭 (2017-2022) 的患者的回顾性图表审查.
- 对手术前的GERD负担,手术期间的细节,手术后的症状和药物变化 (H2阻断剂/PPI) 的分析.
主要成果:
- 这项研究包括60名患者 (平均年龄为50岁,86%为女性) 具有先前存在的GERD,服用抗分泌药物.
- 在一年的随访中,36名评估患者中有81%的患者经历了剂量降低或停止抗分泌药物的治疗.
- 在VSG后的GERD症状管理中,带性心脏衰竭显示出积极的结果.
结论:
- 带性心脏衰竭是一种可行的和有效的替代方案,用于经历垂直袖胃切除术后难治的GERD的患者.
- 与转换为Roux-en-Y胃绕道相比,这种手术提供了一个潜在的更安全的选择,用于管理VSG后的耐火性GERD.
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