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在RYGB之后慢性腹痛的危险因素:患者是否事先得到了充分的选择?
Patricia M Ortega1, Samantha Scholtz2,3, Karen O'Donnell2
1Imperial Weight Centre, St Mary's Hospital, Imperial College Healthcare NHS Trust, London, W2 1NY, UK. pmtnezortega@gmail.com.
Obesity surgery
|April 4, 2024
概括
经过Roux-en-Y胃绕道术 (RYGB) 后的慢性腹痛影响7.3%的患者. 手术后并发症和抑郁症增加风险,而前吸烟者和年龄较大是RYGB疼痛的保护因素.
科学领域:
- 腹腔外科手术的结果
- 胃肠道手术并发症 胃肠道手术并发症
- 慢性疼痛研究 慢性疼痛研究
背景情况:
- 慢性腹痛是Roux-en-Y胃旁路术 (RYGB) 后的一个已知的并发症.
- 识别风险因素对于患者的选择和潜在的减轻这种结果至关重要.
- 了解患者相关的和可修改的因素可以改善RYGB后的护理.
研究的目的:
- 为了确定RYGB后慢性腹痛的患者相关和可修改的风险因素.
- 为减少RYGB后慢性疼痛的发生率制定策略.
主要方法:
- 具有前性数据收集 (2015-2021) 的回顾性队列研究.
- 包括接受RYGB手术的患者.
- 数据来源于国家腹外科注册局 (NBSR) 和医疗记录.
- 慢性腹痛定义为持续或反复出现超过3-6个月的疼痛.
主要成果:
- 包括664名患者;中位数随访时间为60.5个月.
- 7.3% (49名患者) 患有慢性腹痛.
- 手术后并发症 (OR 13.376) 和抑郁症诊断 (OR 1.971) 是显著的危险因素.
- 前吸烟者身份 (OR 0.222) 和年龄较大 (OR 0.959) 是保护因素.
结论:
- 手术后并发症和抑郁症是RYGB后慢性疼痛的关键危险因素.
- 前吸烟者身份和晚年与患慢性疼痛的风险较低有关.
- 多学科的减肥医疗团队在最佳的手术前患者选择中发挥着至关重要的作用.
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