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腹腔外科手术后的第二次食道运动性和延展性参数的变化
Vitor Ottoboni Brunaldi1, Donna Maria Abboud2, Rami R Abusaleh2
1Gastroenterology and Hepatology Division, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. brunaldi.vitor@mayo.edu.
Obesity surgery
|December 20, 2023
概括
腹腔外科手术显著影响食道运动性和延展性,导致二次食道动力障碍的发生率增加,特别是在十二指肠部手术 (DH) 后. 需要进一步的研究来将这些发现与临床数据相关联.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术的结果
- 食道生理学 食道生理学
背景情况:
- 腹腔外科手术越来越常见,但其对食道运动性和延展性的影响仍然不清楚.
- 了解手术后食道变化对于患者管理至关重要.
研究的目的:
- 调查不同类型的减肥手术对食道运动性和胃食道结 (GEJ) 延展性的影响.
- 为了比较Roux-en-Y胃绕道 (RYGB),袖子胃切除术 (SG),十二指肠部 (DH) 程序和对照组 (NAC) 之间的这些参数.
主要方法:
- 回顾性队列研究分析食道平面度和GEJ延伸性.
- 包括RYGB,SG,DH和患有肥胖症 (NAC) 的本地解剖学患者.
- 排除了患有手术前动力障碍症状的患者.
主要成果:
- 与NAC相比,腹腔外科手术与异常食道运动率显著更高.
- 缺席收缩是所有手术组中最常见的运动障碍.
- 十二指甲部 (DH) 患者表现出最高的平均最大延展性指数.
结论:
- 腹腔外科手术改变了食道和GEJ生理学,增加了二次食道动力障碍.
- 十二指甲部 (DH) 程序与更高的动力障碍率有关.
- 需要进一步的研究,将这些发现与临床,计量力和pH测量数据相关联.
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