对减肥手术并发症的内镜疗法
Abdelrahman Yakout1, Enrique F Elli2, Vivek Kumbhari1
1Division of Gastroenterology and Hepatology, Department of Medicine.
Current opinion in gastroenterology
|June 20, 2024
概括
内镜疗法为减肥手术并发症 (如狭窄和反流) 提供最少的侵入性解决方案. 新的技术正在发展,为管理术后问题提供了替代方案,尽管需要专门的培训.
科学领域:
- 腹部外科 腹部外科
- 干预性内镜检查是干预性的内镜检查.
- 胃肠病学 胃肠病学
背景情况:
- 减肥手术是对肥胖的常见治疗方法.
- 手术后可能会出现并发症,影响患者的治疗结果.
- 这些并发症的传统管理可能是侵入性的.
研究的目的:
- 审查目前的内镜疗法对减肥手术并发症的景观.
- 为了突出该领域最近的进展.
- 描述与这些内镜干预相关的临床结果.
主要方法:
- 对干预性内镜技术的当前文献的综述.
- 专注于微创手术,以应对腹膜术后的并发症.
- 对临床结果和描述的技术的疗效的分析.
主要成果:
- 对抗光层的金属支架在Roux-en-Y胃绕道术 (RYGB) 后的胃关狭窄和泄漏方面是有效的.
- 透镜逆行胆血管细胞造影 (ERCP) 是可行的后RYGB使用EUS导向的ERCP (边缘).
- 胃外口内镜肌切除术 (G-POEM) 和内镜反逆流技术在袖子胃切除术并发症方面表现有前途.
- 跨口腔出口减少 (TORe) 修改旨在提高重量恢复的有效性.
结论:
- 腹症并发症的内镜治疗正在迅速发展.
- 新的技术和设备提供了最少的侵入性治疗选择.
- 许多先进的技术需要专门的培训,最好在专家中心进行.
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