在OAGB后对GERD进行系统审查和元分析:率,治疗和成功率
Amir Hossein Davarpanah Jazi1, Shahab Shahabi1, Erfan Sheikhbahaei1
1Minimally Invasive Surgery Research Center, Division of Minimally Invasive and Bariatric Surgery, Iran University of Medical Sciences, Tehran, Iran.
Expert review of gastroenterology & hepatology
|December 27, 2023
概括
胃食道逆流性疾病 (GERD) 影响2%的患者经过一个解肠胃旁路术 (OAGB). 修复性手术后的发病率更高,GERD后OAGB的治疗方法和成功率各不相同.
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:
- 胃食道逆流性疾病 (GERD) 是一个严重的担忧后,一个解肠胃绕道 (OAGB).
- 了解GERD后OAGB的患病率和管理对于患者护理和手术决策至关重要.
研究的目的:
- 在OAGB之后,系统地审查关于GERD的文献.
- 在接受OAGB的患者中确定GERD的患病率.
- 评估OAGB后GERD的管理和结果.
主要方法:
- 在PubMed,Scopus,Embase,Web of Science和Cochrane进行了全面的文献搜索,直到2021年.
- 关键词包括GERD,OAGB及其同义词.
- 两个独立研究人员的数据提取集中在GERD的流行,治疗和结果上.
主要成果:
- 该审查包括了40项研究,涉及17299名患者.
- 在OAGB之后,GERD的整体综合患病率为2%.
- 与初级OAGB相比,经过修订OAGB后GERD的发生率是初级OAGB的6倍;治疗显示出高的成功率 (85%医学,100%手术).
结论:
- 在OAGB后的GERD的患病率根据诊断方法有很大的差异,从0%到55%.
- GERD的症状可以从轻度到重度,需要医疗或手术干预.
- 可能需要进一步的研究来澄清OAGB.GB之后GERD的最佳管理策略.
相关概念视频
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