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laparoscopic袖子胃切除术的比较研究带有或没有Jejunal绕道

Luansheng Liang¹, Rong Gu², Ruibin Zheng¹

¹Department of Bariatric and Metabolic Diseases Surgery, Affiliated Xiaolan HospitalSouthern Medical University, No.65, Jucheng Rd. Xiaolan Dist., 528415, Zhongshan, Guangdong Prov., Guangdong, P. R. China.

Obesity surgery

|June 21, 2024

概括

与肥胖症治疗中单独使用LSG相比, laparoscopic袖子胃切除术 (LSG+JJB) 导致更大的总体重减轻和更低的复发体重增加. 术后的体重减轻在两种减肥手术方法之间是相似的.

科学领域:

腹腔外科手术是什么意思
肥胖管理肥胖管理
代谢手术是一种代谢手术.

背景情况:

肥胖是一种复杂的代谢障碍,需要有效的长期管理策略.
腹腔外科手术,包括腹腔镜袖子胃切除术 (LSG),是严重肥胖的主要治疗方法.
结合LSG与关绕道 (JJB) 是一种替代性的手术方法,以提高减肥结果.

研究的目的:

为了比较腹腔镜袖子胃切除术 (LSG) 对肥胖患者的减肥效果,与LSG结合关旁路 (LSG+JJB) 相比.
分析两个手术组之间的多余减肥 (%EWL) 和总减肥 (TWL) 的百分比.
评估低体重手术后的长期体重控制和反复增加的体重率.

主要方法:

在2014年10月至2019年4月期间,对150名接受减肥手术的肥胖患者进行了回顾性分析.
患者被分为两个组:LSG和LSG+JJB.
在各个后续点对EWL和TWL的统计分析.

主要成果:

虽然%EWL在两组都显示出类似的趋势,但LSG+JJB组在所有后续点都显示出明显更高的TWL.
在LSG群中,EWL的百分比在18个月达到顶峰,并在两年后下降.
相比之下,LSG+JJB组的%EWL在手术后两年内逐渐增加.

结论:

在肥胖患者中,LSG+JJB导致较高的总体重减轻,与单独使用LSG相比.
组合手术 (LSG+JJB) 显示了术后重复体重增加的比率较低.
两种LSG和LSG+JJB都是有效的减肥手术,LSG+JJB提供了增强的长期体重管理.

关键词:

它的位置与周边环绕路由.肥胖问题肥胖问题袖子胃切除术是什么意思减肥的方法减肥的方法减肥的方法

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