在袖子胃切除术后最多6年后,人们会对决定感到遗憾
Theofano Zoumpou1, Aaron Fleishman2, Daniel B Jones1
1Department of Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
Surgical endoscopy
|August 31, 2023
概括
很少有袖子胃切除术患者会对自己的决定感到遗憾,甚至在手术后的六年内也会感到遗憾. 那些经历后悔的人往往体重减轻较少,生活质量也较差.
科学领域:
- 腹部外科 腹部外科
- 外科手术的结果
- 患者的满意度 患者的满意度
背景情况:
- 袖子胃切除术 (SG) 是一种流行的减肥手术.
- 之前的研究显示,其他减肥手术的遗憾率,如Roux-en-Y胃绕道 (RYGB) 和胃带.
- 这项研究调查了手术后长达六年的SG后的决策遗憾.
研究的目的:
- 评估袖子胃切除术后患者决策后悔率.
- 为了确定与SG患者的决策后悔相关的因素.
- 将遗憾率与其他减肥手术进行比较.
主要方法:
- 在手术后至少6个月调查了185名袖子胃切除术患者.
- 使用修改后的决策遗憾度表 (0-100级,>50表示高度遗憾).
- 分析了人口统计和临床数据,比较了有和没有高遗憾的患者.
主要成果:
- 只有7%的患者报告了高决策后悔 (>50).
- 高度遗憾与较低的多余体重损失 (EBMIL) 和生活质量改善的减少有关.
- 后悔的患者更有可能出现胃肠道问题,并且离手术更远.
结论:
- 袖子胃切除术在手术后的六年内,决策后悔率很低 (7%).
- 后悔决策与较差的结果有关,包括减轻体重和降低生活质量.
- 进一步的研究可能会探索长期的患者满意度和对后悔患者的管理.
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