在袖子胃切除术中,前的大小是否重要? 第II卷-A回顾性多中心研究与长期随访
Claudio Gambardella1, Simona Parisi1, Salvatore Tolone1
1Division of General, Oncological, Mini-Invasive and Obesity Surgery, University of Study of Campania "Luigi Vanvitelli", 80131 Naples, Italy.
Journal of clinical medicine
|July 13, 2024
概括
腹腔镜袖子胃切除术 (LSG) 中的大肠切除术显示了较好的短期减肥,但与小肠切除术相比,长期结果和GERD发病率相似. 这两种技术在5年后提供了可比的结果.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 肥胖医学 肥胖医学
背景情况:
- laparoscopic袖子胃切除术 (LSG) 是一种领先的减肥手术,但标准化和并发症管理,如胃食道逆流症 (GERD),仍然是重点领域.
- 手术技术的变化,特别是切除的程度,可能会影响患者的治疗结果.
研究的目的:
- 在患有病态肥胖症的患者中,在LSG期间,在广泛的肠切除术和小肠切除术之间比较长期的人类测量结果和并发症率,特别是GERD.
主要方法:
- 一项回顾性研究评估了597名接受LSG的患者,分为大肠切除术 (A组) 和小肠切除术 (B组) 组.
- 收集的数据包括身体质量指数 (BMI),多余体重减轻的百分比 (%EWL) 和GERD与健康相关的生活质量 (GERD-HRQL) 在5年随访时的得分.
主要成果:
- 虽然广泛的肠切除术最初显示出更大的减肥改善,但这些差异在24个月后变得微不足道,在5年后没有长期分歧.
- 小型肠切除组报告了高达24个月的GERD-HRQL得分明显改善,组间的长期结果可比较.
结论:
- 宽肠切除术提供了短期的人类测量优势,但无论是宽肠切除术还是小肠切除术都会导致类似的长期体重控制和LSG后GERD发病率.
- 进一步的前性研究是有必要的,以确定LSG的最佳 antrum切除策略.
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