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由于并发症而导致的修复性腹手术:说明和结果
Alireza Khalaj1, Maryam Barzin2, Amir Ebadinejad3
1Tehran Obesity Treatment Center, Department of Surgery, Faculty of Medicine, Shahed University, Tehran, Iran.
Obesity surgery
|September 28, 2023
概括
修复性减肥手术解决了最初手术的并发症. 胃食道逆流症和蛋白质热量营养不良是修复性手术的常见原因,这通常会改善患者的症状.
科学领域:
- 腹腔外科手术是什么意思
- 手术并发症 手术并发症
- 胃肠道手术 胃肠道手术
背景情况:
- 减肥手术越来越常见,导致修复性手术的增加.
- 修复手术的原因包括不充分的体重减轻或初级手术的并发症.
- 这项研究侧重于需要修订性减肥手术的并发症.
研究的目的:
- 调查一次性减肥手术后修复性手术的指示.
- 为了评估由于并发症而进行的修复性手术的结果.
主要方法:
- 使用德黑兰肥胖治疗研究数据的回顾性研究.
- 在2013年3月至2021年9月期间接受过修复性减肥手术的患者的分析.
- 纳入标准:初级减肥手术后的并发症.
主要成果:
- 在5382次初级减肥手术中,3.70% (203名患者) 需要修复性手术.
- 37例病例是由于手术并发症,主要是胃食道逆流症 (45.9%) 和蛋白质热量营养不良 (37.8%).
- 大多数患者在经过修复性手术后得到改善,但有8人出现严重并发症 (Clavien-Dindo级III+),包括1人死于肝衰竭.
结论:
- 修复性减肥手术可以有效地管理初级手术的并发症.
- 大多数患者经历了修复性手术后的症状改善.
- 胃食道逆流症和蛋白质热量营养不良是修复手术的关键症状.
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