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在 laparoscopic 袖子胃切除术后的转换程序后的中期结果
Amanda S Dirnberger1, Julian Süsstrunk1, Romano Schneider1
1University Digestive Health Care Center Basel - Clarunis, CH-4002, Basel, Switzerland.
Obesity surgery
|July 29, 2023
概括
在袖子胃切除术 (SG) 后的转化可以解决不足的减肥 (IWL) 和胃食道逆流病 (GERD). 双胞胎切换 (BPD/DS) 的双胞胎胰腺转移提供了显著的体重减轻,而Roux-en-Y胃绕道 (RYGB) 有效地管理了GERD症状.
科学领域:
- 腹腔外科手术的结果
- 胃肠道手术研究的研究.
背景情况:
- laparoscopic 袖子胃切除术 (SG) 可能导致长期问题,如不足的减肥 (IWL) 和胃食道逆流病 (GERD).
- 在SG后的修复性手术被认为可以管理这些并发症并改善患者的治疗结果.
研究的目的:
- 评估SG后转换的患者的中期结果.
- 评估体重减轻 (WL),相关医疗问题的解决,以及转化后的重新手术率.
主要方法:
- 对71名经过SG后转换的患者进行回顾性分析,随访时间至少为2年.
- 转换包括短胆囊关节Roux-en-Y胃绕道 (RYGB),胆囊关节转移与十二指肠切换器 (BPD/DS),长胆囊关节RYGB和再袖胃切除术 (RSG).
主要成果:
- 与RSG相比,BPD/DS和长BPL RYGB导致总体重减轻的百分比最大 (%TWL).
- 在79.5%的患者中,转换为RYGB解决了GERD症状.
- 16.9%的患者需要进行额外的修订手术.
结论:
- 转换为BPD/DS是有效的显著和可持续的体重减轻在SG之后的IWL的情况下.
- 转换为RYGB可靠地控制SG后的GERD症状.
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