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减肥手术的长期有效性,结果和并发症
Milena Gulinac1, Dimitrina Georgieva Miteva2, Monika Peshevska-Sekulovska3
1Department of General and Clinical Pathology, Medical University of Plovdiv, Plovdiv 4000, Bulgaria. mgulinac@hotmail.com.
World journal of clinical cases
|July 20, 2023
概括
腹部外科手术有效地治疗严重肥胖,当其他方法失败时. 本综述综合了关于手套胃切除术和胃绕道术等手术的长期有效性,结果和并发症的证据.
科学领域:
- 代谢和腹部手术的代谢和腹部手术
- 肥胖医学 肥胖医学
- 外科胃肠道外科手术
背景情况:
- 肥胖是一种广泛的疾病,与许多健康问题有关,包括糖尿病,高血压和心血管疾病.
- 体重20%高于适合年龄,性别和身高的理想体重,意味着严重的健康风险.
- 腹部外科手术为病态肥胖症提供了一个治疗选择,当保守方法证明无效时.
研究的目的:
- 审查和综合目前关于减肥手术长期有效性的证据.
- 总结与减肥手术相关的结果和潜在并发症.
- 评估减肥手术对与肥胖相关的并发症的长期影响.
主要方法:
- 系统审查关于减肥手术的现有文献.
- 从随机试验和观察性研究中综合数据.
- 对长期有效性,结果和并发症率的分析.
主要成果:
- 腹腔外科手术,包括袖子胃切除术和胃绕道手术,对于病态肥胖症来说通常是安全有效的.
- 目前的数据表明,外科手术后死亡率较低,并改善了对并发病的短期控制.
- 进一步的随机试验是必要的,以充分确定长期结果.
结论:
- 减肥手术是管理严重肥胖及其相关健康风险的宝贵工具.
- 长期数据对于全面了解减肥手术的影响至关重要.
- 需要继续进行研究,以优化患者选择和手术技术,以获得持续的益处.
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