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与袖子胃切除术同时进行椎间盘的修复:对胃食道逆流的影响?
Arun Kumar1, Jarapala V Madhav, Vitish Singla
1Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.
Surgical laparoscopy, endoscopy & percutaneous techniques
|September 6, 2023
概括
在袖子胃切除术期间治疗间歇性明显改善了大多数致病性肥胖患者的胃食道逆流症症状. 这种手术方法减少了对质子抑制剂的依赖,提高了生活质量.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 在袖子胃切除术 (SG) 期间,经常会遇到椎 (HH).
- HH与胃食道逆流性疾病 (GERD) 密切相关.
- 同时进行椎修复 (HHR) 对SG后的GERD的长期影响尚未得到充分证实.
研究的目的:
- 评估同步椎修复 (HHR) 的中期到长期疗效,在经过袖子胃切除术 (SG) 的患者中.
- 为了评估HHR对胃食道逆流症 (GERD) 症状的影响,和质子抑制剂 (PPI) 使用后SG.
主要方法:
- 一项横截面观察性研究分析了63名接受SG + HHR治疗的患者,并进行了至少一年的随访.
- 收集了手术前的数据和GERD症状. 术后评估包括GERD-Q分数和PPI使用.
主要成果:
- 在51名患者中,平均随访时间为3.7年,51%的患者出现了手术前的反流症状.
- 其中69.2%的患者经历了GERD症状完全消失,GERD-Q得分有显著改善 (9.8至6.5,P=0.001).
- 76.2%的患者停止了PPI,而20%的患者出现了新的GERD.
结论:
- 在袖子胃切除术 (SG) 期间同时进行椎修复 (HHR) 有效地改善了致病性肥胖患者的GERD症状.
- 在绝大多数患者中,HHR减轻了对质子抑制剂 (PPI) 的需要.
- 虽然有效,但应该考虑 de novo GERD 的可能性.
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