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低血糖手术后倾销和低血糖症状的发生率:基于问卷的横截面研究
Anders Jans1, Eva Rask2, Johan Ottosson1
1Department of Surgery, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Clinical obesity
|October 11, 2024
概括
在Roux-en-Y胃绕道术后,倾销和腹后低血糖症状显著增加,但没有袖子胃切除术. 持续的2型糖尿病可能会在减肥手术后防止低血糖症.
科学领域:
- 腹部外科手术的结果
- 胃肠病学 胃肠病学
- 代谢手术 代谢手术
背景情况:
- 倾销和腹后低血糖症 (PBH) 是腹手术后已知的并发症.
- 了解这些症状的患病率和进展对于患者管理至关重要.
研究的目的:
- 估计倾销和PBH症状在Roux-en-Y胃绕道 (RYGB) 和袖子胃切除术 (SG) 之前和5年后的流行率.
- 为了比较RYGB和SG程序之间的症状发展.
- 研究2型糖尿病 (T2D) 对PBH症状的影响.
主要方法:
- 一项横截面,单中心研究,涉及742名接受RYGB或SG治疗的患者.
- 使用瑞典版的倾销严重程度量表 (DSS-Swe) 问卷来评估症状.
- 在手术前和多个随访点收集的数据,手术后长达5年.
主要成果:
- 5年后,RYGB患者在高度怀疑倾销 (4.9%至26.3%) 和PBH症状 (1.4%至19.3%) 中显著增加.
- 在SG患者中没有观察到倾销或PBH症状的显著增加.
- 患有持续T2D的患者在RYGB或SG后没有报告高度怀疑的低血糖症.
结论:
- 倾销和PBH症状在RYGB之后很常见,在5年内显著增加.
- 袖子胃切除术似乎对这些术后症状的发生率较低.
- 持续的2型糖尿病可能会对腹后低血糖产生保护作用.
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