炎症性肠道疾病的腹腔外科手术:对45万名患者的比较分析
Yomna E Dean1, Mohamed I Mohamed1, Moussa Nassar2
1Faculty of Medicine, Alexandria University, Alexandria City, Egypt.
概括
腹腔外科手术 (BS) 为炎症性肠病 (IBD) 患者和非IBD患者提供了可比的体重减轻. 然而,IBD患者在手术后面临并发症和再入院的风险增加.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 炎症性肠道疾病是什么
背景情况:
- 腹腔外科手术 (BS) 越来越多地被考虑用于患有炎症性肠病 (IBD) 的患者.
- 与非IBD人群相比,IBD患者的BS结果需要仔细评估.
研究的目的:
- 为了比较患有炎症性肠病 (IBD) 和没有炎症性肠病 (IBD) 的患者之间减肥手术 (BS) 的结果.
- 分析关于IBD患者与非IBD患者BS结果的现有文献.
主要方法:
- 在2023年9月25日,在PubMed,Scopus和Web of Science进行了系统的文献搜索.
- 对IBD患者BS结果的比较研究使用RevMan软件v5.4.4进行了分析.
主要成果:
- 在IBD和非IBD组之间,1年后BS的体重减轻 (BMI变化) 类似.
- 在BS之后,IBD患者表现出急性功能衰竭,出血和再入院的风险更高.
- 与袖子胃切除术 (SG) 相比,Roux-en-Y胃绕道术 (RYGB) 与IBD患者的术后并发症有关.
结论:
- 腹腔外科手术 (BS) 对IBD患者的减肥有效,与非IBD患者相比.
- 接受BS治疗的IBD患者面临术后并发症和再入院的风险较高.
- 在性结肠炎 (UC) 和克罗恩病 (CD) 患者中,类固醇使用在BS后减少.
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