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laparoscopic袖子胃切除术转换为胃绕道:随着时间的推移转换率,转换的预测因素和减肥结果
Luis Pina1, David M Parker1, G Craig Wood1
1Division of Bariatric and Foregut Surgery and The Obesity Institute, Geisinger Health System, Danville, Pennsylvania.
概括
从腹腔镜袖子胃切除术 (LSG) 转换为Roux-en-Y胃绕道 (RYGB) 随着时间的推移而增加,年轻女性的比例更高. 一些患者在转化后可能会出现额外的体重减轻.
科学领域:
- 腹部外科 腹部外科
- 外科手术的结果
- 胃肠病学 胃肠病学
背景情况:
- 腹腔镜袖胃切除术 (LSG) 是美国最常见的减肥手术.
- 从LSG到Roux-en-Y胃绕道 (RYGB) 的长期转换率在很大程度上是未知的.
研究的目的:
- 为了确定随着时间的推移从LSG到RYGB的累积转换率.
- 为了确定与转化相关的患者因素.
- 为了评估转化后的减肥结果.
主要方法:
- 在2011年至2020年期间进行的875个LSG程序的回顾性分析.
- 卡普兰-梅尔分析用于估计换率.
- 考克斯回归用于识别转换的预测因素.
主要成果:
- 七年期的转换率达到12.6%.
- 女性性别和55岁以下的年龄是转换的重要预测因素.
- 体重指数>35的患者在转化后的一年内获得了额外的13.6%的总体体重减轻.
结论:
- 从LSG到RYGB的转换率在七年内显著增加.
- 年轻的女性更有可能接受转化.
- 转换为RYGB可能会提供额外的减肥好处.
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