内镜胃缩:一种灵活和量身定制的减肥手术替代方案
Francesco Frattini1, Andrea Gambetti1, Giuseppe Cordaro1
1Division of Surgery, IRCCS Istituto Auxologico Italiano, Milan, Italy.
Surgical technology international
|January 3, 2024
概括
胃内镜切割为肥胖管理提供了一种安全的,最少的侵入性替代方案,既可以作为主要治疗,也可以作为减肥手术的修订. 这种多功能的内镜套胃形成术 (ESG) 对各种患者需求显示出有前途.
科学领域:
- 腹部外科 腹部外科
- 最少侵入性手术的方法
- 胃肠病学 胃肠病学
背景情况:
- 内镜手术正在扩大,因为其发病率很低,对患者的影响很大.
- 内镜套胃形成术 (ESG) 是一种正在发展中的替代传统减肥手术.
- 目前还没有关于内镜性胃形成术的指导方针.
研究的目的:
- 介绍内镜胃复合的初步结果.
- 评估ESG作为一个主要的程序.
- 评估ESG作为袖子胃切除术和胃绕道术的修订.
主要方法:
- 预期数据库的回顾性分析.
- 从接受OverstitchTM内镜胃形成手术的患者收集的数据.
- 研究期:2022年5月至2023年7月.
主要成果:
- 23名患者接受了内镜胃复合.
- 程序包括初级ESG,袖子胃切除术的修订和胃绕道术的修订.
- 记录了一例Clavien-Dindo 2并发症 (炎症性危胃反应).
结论:
- 内镜胃切片是用于I/II类肥胖症的袖子胃切除术的安全有效替代方案.
- 内镜接装置适用于初级和修订性减肥手术.
- 对于那些不适合或经历了传统减肥手术失败的患者来说,ESG提供了一个有价值的选择.
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