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重复袖子胃切除术在选定的患者中是一种安全而明智的干预措施:回顾性队列研究
Lionel El Khoury1, Jean-Marc Catheline, Malak Taher
1Department of Digestive Surgery, Centre Hospitalier de Saint-Denis, 2 rue du Docteur Delafontaine, Saint-Denis, France.
International journal of surgery (London, England)
|September 14, 2023
概括
重复袖子胃切除术 (Re-sleeve gastrectomy,ReSG) 是一种安全有效的程序,用于经历初始袖子胃切除术后体重恢复或体重减轻不足的患者,导致显著的BMI降低.
科学领域:
- 腹部外科 腹部外科
- 代谢综合征管理 代谢综合征管理
- 肥胖治疗方法 肥胖治疗方法
背景情况:
- 袖子胃切除术有效地管理肥胖和代谢综合征.
- 在袖子胃切除术后恢复体重是一个常见的问题,通常需要重新干预.
- 再袖胃切除术 (Re-sleeve gastrectomy,简称ReSG) 正在成为使用扩张的胃囊恢复体重的治疗方法.
研究的目的:
- 评估重新袖子胃切除术 (ReSG) 的长期结果和安全性.
- 在初始袖子胃切除术后,患者的胃残留量较大时,分析ReSG.
主要方法:
- 79名接受腹腔镜ReSG的患者进行了回顾性队列研究.
- 纳入标准:胃囊扩张>250 cc.
- 从2010年9月到2021年3月收集的数据.
主要成果:
- 平均随访时间为44.8个月.
- 用于ReSG的说明:体重减轻不足 (46.8%) 和体重恢复 (53.2%).
- 并发症率为10.1% (胃狭窄,出血,切口),没有死亡或胃. 平均BMI下降了6.9公斤/米2.
结论:
- 重复袖子胃切除术是一种可行且安全的选择,用于管理不足的减肥或在袖子胃切除术后恢复体重.
- 在胃管扩张的情况下,该程序是适用的.
- 在大型案例系列中,ReSG表现出了有利的长期结果.
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