第三次是一个魅力:乐队的袖子绕过绕过
Jerry T Dang1, Karl Hage2, John Corbett3
1Digestive Disease Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA. dangj3@ccf.org.
Surgical endoscopy
|November 17, 2023
概括
从调节性胃带 (AGB) 转换为袖子胃切除术 (SG),然后转换为Roux-en-Y胃绕道 (RYGB) 的双重减肥手术往往是由于GERD或体重问题. 需要进行研究,以优化初级手术并尽量减少这些复杂的手术.
科学领域:
- 腹部外科 腹部外科
- 外科手术的结果
- 胃肠道手术 胃肠道手术
背景情况:
- 由于并发症或体重复发,可调节的胃带 (AGB) 经常被转换为袖子胃切除术 (SG) 或Roux-en-Y胃绕道 (RYGB).
- 一些患者经历了连续的双重转换 (AGB到SG,然后SG到RYGB),这种情况对其指示和风险的研究有限.
研究的目的:
- 评估从AGB转换为SG,然后转换为RYGB的双重减肥手术的指示和结果.
- 为了确定与这些复杂的修订程序相关的患者和手术特征.
主要方法:
- 利用了2020-2021代谢和减肥外科认证和质量改进计划 (MBSAQIP) 参与者使用文件.
- 分析了276名患者的患者和手术特征和结果,这些患者经历了连续的AGB到SG到RYGB转换.
- 使用描述性统计来总结数据.
主要成果:
- SG转换为RYGB的主要驱动因素是胃食道逆流病 (GERD) (55.1%) 和体重减轻/恢复不足 (IWL/WR) (36.9%).
- 转换为IWL/WR的患者的基线BMI和睡眠呼吸暂停患病率较高.
- "其他原因"组显示,开放性手术,粘接溶解,静脉漏,重复手术,严重并发症和死亡率增加.
结论:
- 双重减肥手术转换主要用于GERD或IWL/WR.
- 进一步的研究是必不可少的,以确定最佳的初级减肥手术程序,以减少多次转换的需要.
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