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巴西多协会关于新兴的腹部和代谢外科手术的立场声明

Antonio Carlos Valezi¹, Antonio Carlos Ligocki Campos², Luiz Carlos Von Bahten³

¹Brazilian Society of Bariatric and Metabolic Surgery - São Paulo (SP), Brazil.

Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

|September 20, 2023

概括

新兴的减肥手术,如OAGB,OADS和SGTB,在治疗肥胖和相关疾病方面表现有前途. 这些程序为符合条件的患者提供低风险,有效的减肥和改善并发症.

科学领域:

代谢和腹部手术代谢和腹部手术
手术创新在外科创新.
肥胖管理肥胖管理

背景情况:

新兴的减肥和代谢外科手术需要对临床整合进行评估.
巴西外科协会召开了一个论坛,评估新的外科手术技术.
巴西目前的监管框架还没有列出这些先进的程序.

研究的目的:

评估新兴的减肥和代谢外科手术程序的结果.
为采用新的外科手术技术提供建议.
以指导未来关于巴西和全球减肥手术的决定.

主要方法:

进行了全面的文献审查.
讨论涉及来自巴西外科协会的400多名专家.
国际专家分享了有关监管政策和外科手术经验的见解.

主要成果:

一个解肠胃旁路术 (OAGB),OADS和穿过双分割 (SGTB) 的袖子胃切除显示出较低的发病率.
这些程序实现了令人满意的减肥,并解决了糖尿病和高血压等并发症.
袖子胃切除与阴茎插入 (SGII) 被确定为一个可行的替代方案.

结论:

患有BMI>30 kg/m2和对临床治疗无反应的并发症的患者是代谢手术的候选人.
建议使用OAGB,OADS和SGTB,因为它们具有有利的风险/收益概况.
SGII为减肥外科干预提供了一个有前途的选择.

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