在之前的腹腔镜Roux-en-Y胃绕道术后,椎的修复
Tiffany Vaughan1, Gustavo Romero-Velez2, Juan S Barajas-Gamboa3
1Digestive Disease & Surgery Institute, Cleveland Clinic, Cleveland, Ohio; Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates; Case Western Reserve University School of Medicine, Cleveland, Ohio.
概括
在Roux-en-Y胃旁路术后,手术修复症状性缺口,可以有效地解决大多数患者的消化不良和反流等症状. 这项研究突出了该程序的程序.
科学领域:
- 腹部外科 腹部外科
- 胃肠道手术 胃肠道手术
- Hernia 修复 椎间板裂的修复
背景情况:
- 带有袋子迁移的症状性缺口 (HH) 是 laparoscopic Roux-en-Y胃旁路术 (RYGB) 后的一个不常见的并发症.
- 关于手术修复对于这种特定并发症的疗效的证据有限.
研究的目的:
- 为了评估Roux-en-Y胃绕道术 (RYGB) 后症状性缺口 (HH) 的临床表现.
- 评估手术性HH修复在有RYGB病史的患者中缓解症状的有效性.
主要方法:
- 在2010年至2022年期间,在之前的RYGB之后,对44名患者进行了隔离性间歇性修复的回顾性审查.
- 排除在其他修订性减肥手术期间接受偶发性HH修复的患者.
- 分析基线特征,呈现症状,手术技术 (最小侵入性) 和短期结果.
主要成果:
- 最常见的导致HH修复的症状是消化不良 (52%),胃反流 (39%) 和腹痛 (36%).
- 在98%的修复中使用了最少的侵入性方法,主要是使用不可吸收的.
- 在28天的中位数随访后,70%的患者报告症状完全消失,23%报告部分消失. 在2名患者中观察到放射性复发.
结论:
- 这一系列代表了RYGB后袋子迁移隔离性椎间修复的最大评估.
- 手术修复表明,对于诸如消化不良和反流等常见投诉的短期症状解决率很高.
- 需要进行进一步的长期随访,以确定RYGB后椎间的手术修复的持久性.
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