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腹腔外科手术后的韦尼克脑病:一篇文学评论
Allen T Yu1, Aliza Gross2, Koji Park2
1Department of Surgery, Mount Sinai Health System, New York, NY, 10029, USA. allen.yu@mountsinai.org.
Obesity surgery
|October 5, 2023
概括
维尼克脑病 (Wernicke encephalopathy,简称WE) 是一种由胺缺乏引起的神经系统疾病,在减肥手术后是一个严重的风险. 发病率因手术而异,胆胰腺转移的发病率最高.
科学领域:
- 神经学 神经学
- 腹部外科 腹部外科
- 营养缺乏症 营养缺乏症
背景情况:
- 韦尼克脑病 (Wernicke encephalopathy,简称WE) 是一种急性神经疾病,由胺缺乏引起.
- 历史上与营养不良有关,WE越来越被认为是减肥手术的并发症.
- 我们呈现了,眼和精神状态的改变.
研究的目的:
- 审查在减肥手术后面面临WE风险的群体.
- 在这个人群中检查WE的临床表现.
- 从1985年到2023年,确定WE在不同减肥手术中的发病率.
主要方法:
- 在减肥手术患者中对韦尼克脑病变病例的文献综述.
- 分析WE发病率数据,用于袖子胃切除术,胃带,RYGB和双胞胎关节切换的胆胰腺转移.
- 数据收集范围从1985年到2023年.
主要成果:
- 每10万例的发病率:袖子胃切除 (1.06),胃带 (1.16),RYGB (4.29),双关节切换双关节转移 (8.92).
- 程序类型显著影响WE风险.
- 随着时间的推移,主要的减肥手术的转移趋势被观察到.
结论:
- 沃尼克脑病是减肥手术的一个显著且可能致命的并发症.
- 早期干预和持续的术后胺补充剂对于预防至关重要.
- 基于手术程序的风险分层对于患者管理至关重要.
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