胆道并发症与减肥,胆病和胆固醇胆病相关
Marcelo A Ribeiro1,2, Gabriela K Tebar3, Helena B Niero4
1Department of Surgery, Division of Trauma, Critical Care and Acute Care Surgery, Sheikh Shakhbout Medical City, Abu Dhabi 11001, United Arab Emirates.
概括
腹腔外科手术患者因肥胖和快速减肥而面临胆结石 (胆结石) 和胆道结石 (胆结石) 的风险增加. 早期检测和管理对于改善患者的治疗结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 肝胆道手术 肝胆道手术
背景情况:
- 肥胖和快速减肥显著增加了腹部手术患者胆道并发症的风险.
- 体重指数>40的患者患胆病的风险增加了8倍.
- 胆道疾病影响高达30%的患者在腹腔外科手术后,特别是在腹腔镜Roux-en-Y胃绕道 (LRYGB) 后.
研究的目的:
- 审查和分析减肥手术后的主要胆道并发症.
- 讨论这些后腹性胆病问题的管理策略.
- 为了提供一个更新的概述胆道并发症在减肥患者.
主要方法:
- 2010年至2023年期间进行的文献综述.
- 搜索的数据库包括SciELO,PubMed和MEDLINE等.
- 专注于接受减肥手术的患者的胆道并发症.
主要成果:
- 在LRYGB患者中,术后出现症状性胆结石的发生率为14.5%,而腹腔镜袖子胃切除术的发病率为4.1%.
- 在6-12个月内出现的关键并发症包括胆病 (36%),胆 / 失动 (3.86%),急性胆囊炎 (0.98%-18.1%),慢性胆囊炎 (70.2%),胆病 (0.2%-5.7%),胰腺炎 (0.46%-9.4%).
结论:
- 腹腔外科医生必须意识到术后胆道并发症的高发病率.
- 基于症状的手术管理对于改善患者的生活质量至关重要.
- 对胆汁问题的及时干预在减肥患者中至关重要.
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