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在Roux-en-Y胃绕道术后,胃囊重新调整大小以增加重量 - - 这有其合理性吗?
Stefanie Josefine Hehl1,2, Dominique Lisa Birrer3, Renward Hauser4
1Department of Visceral and Transplant Surgery, Swiss HPB Center, University Hospital Zurich, 8091, Zurich, Switzerland. stefanie-hehl@gmx.ch.
Obesity surgery
|November 12, 2024
概括
在Roux-en-Y胃绕道术 (RYGB) 后,胃袋调整 (GPR) 有效地管理重量恢复并解决肥胖并发症. 这种安全的二次手术改善了精心挑选的个体的患者结果和满意度.
科学领域:
- 腹部外科 腹部外科
- 代谢手术 代谢手术
- 肥胖管理 肥胖管理
背景情况:
- 代谢 - 减肥手术 (MBS) 是最有效的肥胖治疗方法.
- 在Roux-en-Y胃绕道术 (RYGB) 后,多达40%的患者经历体重恢复,导致并发症复发.
- 胃囊重整 (GPR) 是一项针对重量恢复的二次手术.
研究的目的:
- 分析GPR在初级RYGB之后的长期影响.
- 评估GPR对减肥,并发症解决,安全和患者满意度的影响.
主要方法:
- 在2016年至2020年间,对48名患者进行了腹腔镜GPR的回顾性分析.
- 整体复原包括囊切除和胃结节术重复.
- 37名患者完成了一项关于患者报告结果措施 (PROM) 的调查.
主要成果:
- 在RYGB后的平均106个月内,GPR在平均BMI为39kg/m2时进行.
- 平均随访时间为56个月;GPR后的BMI显著下降1年和5年.
- 肥胖并发症在53%的患者中消失 (p<0.05);小/重大并发症发生在12.5%/10.4%的患者中.
结论:
- 在RYGB之后,GPR是一种安全的程序,用于管理反复增加的体重.
- 它导致体重稳定和解决与肥胖相关的并发症.
- 对于精心挑选的患者来说,GPR是一种有价值的选择.
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