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腹部外科手术,从减肥到重新增加体重:回顾性五年队列研究
Mahsa Hatami1,2, Abdolreza Pazouki1,3, Fatemeh Sadat Hosseini-Baharanchi4
1Minimally Invasive Surgery Research Center; Iran University of Medical Sciences, Tehran, Iran.
Obesity facts
|August 20, 2023
概括
与腹腔镜袖子胃切除术 (LSG) 相比,一个解肠胃绕道 (OAGB) 提供了更好的减肥. 减肥手术后的早期减肥模式可以预测长期的结果,使得及时的干预能够获得更好的结果.
科学领域:
- 腹部外科 腹部外科
- 肥胖管理 肥胖管理
- 代谢手术 代谢手术
背景情况:
- 减肥手术的结果可能会有所不同,人们担心减肥不足,平原和恢复.
- 手术后的中期结果和体重波动模式需要进一步调查.
研究的目的:
- 为了确定减肥手术后体重变化的关键时间点.
- 为了评估不同减肥手术的5年减肥结果.
主要方法:
- 对2567名患有病态肥胖症的患者进行了回顾性队列研究.
- 在腹腔镜袖子胃切除术 (LSG),Roux-en-Y胃绕道术 (RYGB) 和一次解肠胃绕道术 (OAGB) 后5年内减肥趋势的分析.
主要成果:
- 在所有三种手术中,最初的6个月体重减轻是相似的.
- 一次解肠胃绕道 (OAGB) 和Roux-en-Y胃绕道 (RYGB) 分别在9个月和24个月显示出比LSG更大的体重减轻.
- 五年体重减轻结果与LSG,RYGB和OAGB分别在6,9和12个月后的体重减轻相关.
结论:
- OAGB证明了最快和最高的多余体重减轻和总体重减轻.
- LSG与较早的体重平原和5年内更大的体重恢复有关.
- 早期减肥模式可以预测中期减肥手术的结果,这表明早期干预可以改善长期结果.
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