相关实验视频
Updated: Jul 21, 2025

07:37
Roux-en-Y Gastric Bypass Operation in Rats
Published on: June 11, 2012
23.6K
外科医生经验与保险障碍为提供胃绕道作为病理性GERD的基于证据的手术
Anna R Ibele1, Peter N Nau2, Carlos Galvani3
1Department of Surgery, University of Utah School of Medicine, 30 North 1900 East, Salt Lake City Utah, 84132, USA. Anna.ibele@hsc.utah.edu.
Surgical endoscopy
|July 26, 2023
概括
鲁克斯-en-Y胃绕道 (RYGB) 有效地治疗肥胖患者的GERD,但保险覆盖通常被拒绝. 改善对RYGB的访问对于患有肥胖和GERD的患者至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 公共卫生 公共卫生
背景情况:
- 肥胖是一个日益严重的公共卫生问题,经常与管理不善的胃食道逆流症 (GERD) 有关.
- 基金复合为致病性肥胖患者提供有限的长期益处,并且不解决与体重相关的并发症.
- 鲁克斯-en-Y胃绕道 (RYGB) 是解决肥胖个体的GERD的既定标准,并作为GERD后预先手术的救援程序.
研究的目的:
- 调查Roux-en-Y胃绕道术 (RYGB) 用于治疗肥胖患者的GERD时的保险覆盖范围和范围的限制.
- 了解外科医生的实践和关于RYGB对GERD指示的保险批准的经验.
主要方法:
- 一项由SAGES Foregut工作组开发的9项调查.
- 该调查评估了外科医生实践和对RYGB对GERD的保险覆盖的经验.
- 该调查分发给SAGES Foregut工作组成员和相关Facebook组的外科医生.
主要成果:
- 187名外科医生完成了调查.
- 89%的外科医生使用RYGB作为抗逆流体手术,BMI截止值为35公斤/平方米 (44%) 或30公斤/平方米 (26%).
- 74%的外科医生至少有一半的时间遇到RYGB对GERD的保险覆盖问题,8%的外科医生报告从未获得GERD指示的批准.
结论:
- 在肥胖患者中,RYGB是GERD的首选治疗方法,通常优于基底复合.
- 保险保单经常限制对GERD的RYGB的访问,这与基于证据的医学相矛盾.
- 倡导是必要的,以提高患者获取RYGB用于肥胖的背景下GERD管理.
相关概念视频
Gastroesophageal Reflux Disease II: Clinical Features and Management
116
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...
116
Peptic Ulcer Disease V: Surgical Management and Nursing Care
344
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
344
Barrett Esophagus-II: Clinical Manifestations and Management
201
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...
201
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
200
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
200
Esophageal Strictures-II: Clinical Features and Management
104
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
104
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119

