用单通道内镜进行腹腔外科手术后的内镜修复性胃整形
Thierry Manos1, Anamaria Nedelcu2, Patrick Noel1,2,3
1ELSAN, Clinique Bouchard, Marseille, France.
Obesity surgery
|December 20, 2023
概括
内镜修复性胃形成术 (ERG) 是一种安全有效的内镜手术,用于控制减肥手术后的体重恢复. 这种最少的侵入性方法为寻求修订性减肥手术的患者提供了耐受良好的选择.
科学领域:
- 腹部外科 腹部外科
- 内镜手术 进行内镜手术
- 肥胖管理 肥胖管理
背景情况:
- 肥胖的复发是重症外科手术后的一个重大挑战.
- 较少侵入性的内镜减肥手术正在出现,用于管理重量恢复.
- 评估内镜修复性胃形成术 (ERG) 的安全性对于患者护理至关重要.
研究的目的:
- 评估内镜修复性胃形成术 (ERG) 的安全性和有效性.
- 评估ERG作为各种空腹治疗程序后体重复发的管理选择.
主要方法:
- 一个回顾性单中心研究,涉及22名接受ERG的患者.
- 收集的数据包括人口统计数据,手术史,肥胖并发症和术后结果.
- 分析的重点是安全参数和体重减轻结果在1年的随访.
主要成果:
- 在22名患者 (19名女性,平均年龄34.2岁,平均BMI32.9kg/m2) 中安全地进行了ERG.
- 手术通过内镜完成,没有并发症,住院时间短 (1.1天).
- 在1年的随访中,平均BMI下降到28.7kg/m2,平均BMI损失为4.2kg/m2和53.1%的多余体重损失 (%EWL).
结论:
- 内镜修复性胃整形术 (ERG) 是一种安全的,最少侵入性的修复性减肥手术.
- 在之前的减肥手术后,ERG对经历体重复发的患者来说是一种有效和耐受良好的选择.
- 这种内镜方法提供了一个可行的解决方案,用于管理腹腔外科手术后的体重恢复.
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