在失败的袖子胃切除术后修复性腹手术的结果:一项德国多中心研究
Omar Thaher1, Juan Fernando Mesa Daza2, Roland S Croner3
1Department of Surgery, Marien Hospital Herne, Ruhr-Universität Bochum, Hölkeskampring 40, 44625, Herne, Germany.
Obesity surgery
|September 28, 2023
概括
在袖子胃切除术后的修复手术有效地治疗并发病症并促进减肥. 最好的重复手术取决于个体患者的因素和修订目标,因为没有一种方法是优越的.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 袖子胃切除术 (SG) 是一种普遍的减肥手术,有效性已被证明.
- 然而,与SG相关的风险可能需要修复或重复手术 (RS).
研究的目的:
- 评估一次性袖子胃切除术后各种修复手术的短期结果.
- 为了比较 Re-Sleeve胃切除术 (R-SG),Roux-en-Y胃绕道 (RYGB),Omega-loop胃绕道 (OLGB) 和十二指肠切换 (DS) 作为重复手术的有效性.
主要方法:
- 来自德国腹部外科注册局 (GBSR) 的多中心数据的分析.
- 对接受RS的患者进行1年的随访数据的评估,主要SG后RS.
- 在不同的重复手术中比较操作时间,并发症发生率,BMI降低和并发症缓解.
主要成果:
- 7.9%的初级SG患者需要修复手术.
- 重量恢复和并发症恶化是RS的主要征兆.
- 所有重复手术都显示出显著的并发症缓解和BMI降低,DS和RYGB显示出最实质性的BMI变化.
- 没有单一的重复手术在并发症率上显示出普遍的优势,尽管R-SG和DS更频繁地出现特定并发症.
结论:
- 袖子胃切除术后的修复手术在解决并发症和促进减肥方面是有效的.
- 重复手术的选择应根据患者的具体需求,修改的原因和整体健康状况来个性化.
- 需要进一步的研究,以建立重复减肥手术的黄金标准.
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