袖子胃切除术后的胸内袖子迁移:发生率和结果
Bomina Paik1, Yoona Chung1, Dongjae Jeon2
1Bariatric & Metabolic Surgery Center, H Plus Yangji Hospital, 1636, Nambusunhwan-Ro, Gwanakgu, Seoul, 08779, Korea.
Obesity surgery
|October 4, 2024
概括
胃袖的胸内迁移 (ITM) 在腹腔镜袖胃切除术 (LSG) 后的14%患者中发生. 这种情况与持续的GERD症状和食道炎有显著联系,影响患者的治疗结果.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- laparoscopic 袖子胃切除术 (LSG) 是一个领先的减肥手术.
- 胃食道逆流性疾病 (GERD) 是LSG后的一个常见并发症.
- 胃袋的胸内迁移 (ITM) 是GERD的一个未被认可的原因.
研究的目的:
- 为了确定 LSG 后自发性 ITM 的发生率.
- 调查ITM与患者特征之间的关系.
- 分析ITM与外科手术后期结果和GERD严重程度的关联.
主要方法:
- 对206名接受LSG的患者进行了回顾性审查.
- 每年进行随访,使用非增强型CT扫描和食道胃管腺镜 (EGD).
- 在ITM和非ITM组之间比较基线特征和临床结果.
主要成果:
- ITM的发生率为14% (29/206名患者).
- ITM与术后逆流症状有显著的相关性 (p=0.001).
- 患有ITM的患者需要更长时间使用抗逆流药物,并且在EGD上患食道炎的比例更高 (p=0.002).
结论:
- 在LSG后,ITM的发病率为14%.
- ITM与临床GERD和食道炎有显著的关联.
- 在管理GERD后的LSG时,ITM是需要考虑的关键因素.
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