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腹代谢手术在流行病爆发期间可能比风险更有好处

Martín Andrada¹, Franco Signorini¹, Ignacio Rendeli¹

¹General Surgery Department, Hospital Privado Universitario de Córdoba, Córdoba, Argentina.

Journal of laparoendoscopic & advanced surgical techniques. Part A

|August 5, 2024

概括

在COVID-19大流行期间,肥胖患者的减肥手术导致肥胖相关疾病的快速解决,并降低了住院风险. 这些发现表明,减肥手术是安全有效的,即使在流行病期间.

科学领域:

代谢手术代谢手术
肥胖管理肥胖管理
传染病流行病学传染病流行病学

背景情况:

SARS-CoV-2 流行病为管理肥胖患者带来了独特的挑战.
肥胖与严重的COVID-19结局和并发症的风险增加有关.

研究的目的:

在COVID-19大流行期间,分析肥胖患者在减肥计划中的结果.
为了比较接受减肥手术的患者和没有接受减肥手术的患者之间的结果.

主要方法:

回顾性研究 (2020-2021),比较两个组:手术 (O) 和非手术 (NO).
随访期为12个月,以评估严重COVID-19风险因素的解决 (ASMBS标准).

主要成果:

在手术组 (83名患者) 中,观察到肥胖症 (BMI > 35 Kg/m2),2型糖尿病和高血压的显著缓解.
在非手术组 (99名患者) 中没有记录出并发症解决方案.
由于COVID-19感染而导致的住院治疗在手术组 (1.2%) 与非手术组 (7.1%) 相比较较低.

结论:

腹性代谢手术不会增加COVID-19感染或严重并发症的风险.
手术迅速解决高风险的并发症,并减少了与SARS-CoV-2感染相关的住院治疗的需要.

关键词:

在 COVID-19 疫情中,这就是SARS-CoV-2病毒.腹性代谢手术腹性代谢手术绕道绕道是一个绕道.流行病是一种流行病.袖子胃切除术袖子胃切除术

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