在十二指甲切换后营养不良和肝功能障碍的管理
Romulo P Lind1, Marita Salame2, Michael Kendrick2
1Department of Bariatric Surgery, Orlando Regional Medical Center, Orlando Health, 89 W Copeland Dr, 1st Floor, Orlando, FL, USA. Romulo.lind@orlandohealth.com.
Obesity surgery
|January 4, 2024
概括
修复性手术可以有效地治疗严重营养不良和肝脏问题后十二指肠切换 (DS). 这项研究发现,手术修复改善了营养状况和肝功能,死亡率为0%.
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:
- 营养不良和肝功能障碍是十二指肠切换手术 (DS) 后的潜在并发症.
- 保守的管理是常见的,但在耐火病例中可能需要进行手术修改.
研究的目的:
- 描述对营养不良和肝功能障碍进行修复性手术后的结果.
- 评估这些修订程序的有效性和安全性.
主要方法:
- 针对DS并发症进行修复性手术的患者的回顾性图表审查 (2008-2022年).
- 纳入标准:营养不良和/或肝功能障碍 耐营养支持和TPN.
- 没有直接比较的描述性研究.
主要成果:
- 13名患者接受了修复性手术;平均年龄为44.7岁,BMI为54.7公斤/米2.
- 修订的平均时间为DS后26.5个月;69.1%接受了TPN.
- 0%的死亡率;所有患者体重恢复,蛋白质和白蛋白水平在12个月后有所改善.
结论:
- 耐药性营养不良和DS后的肝衰竭是罕见的,但如果不治疗,可能是致命的.
- 修复性手术显示营养状况和肝功能显著改善.
- 这些手术与较低的并发症率有关.
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