十二指甲切换后患者的边缘和倾倒综合征:一个多中心研究
Marita Salame1, Andre F Teixeira2, Romulo Lind2
1Department of Surgery, Mayo Clinic, Rochester, MN 55905, USA.
Journal of clinical medicine
|September 9, 2023
概括
边缘 (MU) 和十二指甲切换手术 (DS) 后的倾倒是不常见的. 非类固醇抗炎药物 (NSAID) 的使用和更长的操作时间增加了MU的风险,而不良饮食有助于倾销.
科学领域:
- 腹腔外科手术的结果
- 胃肠道手术并发症 胃肠道手术并发症
- 袖子胃切除术和十二指肠切换手术
背景情况:
- 在双胞胎切换 (BPD/DS) 的胆囊转移和双胞胎-叶绕道 (SADI-S) 的单次解剖,旨在减少边缘 (MU) 和倾销.
- 有限的机构数据存在于MU的流行和这些程序后的倾销.
研究的目的:
- 为了确定MU和倾销的发生率,遵循十二指肠切换 (DS) 程序.
- 确定与MU和倾销发展相关的因素.
主要方法:
- 在2008年至2022年期间接受BPD/DS或SADI-S的患者的多中心审查.
- 收集基线人口统计,症状和并发症管理数据.
- 使用费舍尔对分类变量的精确测试和连续变量的独立t测试进行统计分析.
主要成果:
- 总共分析了919名患者 (74.6%为女性,平均年龄为42.5岁,BMI为54.6kg/m2).
- 观察到MU (0.9%) 和倾销 (0.8%) 的低发病率,平均随访时间为31.5个月.
- 使用NSAID (p=0.006) 和更长的操作时间 (p=0.047) 与MU风险增加有关. 没有发现与初级 vs 修复性手术或 BPD/DS vs SADI-S 的相关性.
结论:
- 十二指甲切换手术后边缘和倾倒的发生率很低.
- 使用NSAID和延长的操作时间是MU的风险因素.
- 倾销主要与手术后不理想的饮食习惯有关.
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