[在墨西哥社会保障研究所的第一个SADI-S]
Carlos Alberto Gutiérrez-Rojas1, Erik Daniel Alvarez-Sores1, Aldo Lara-Mejía1
1nstituto Mexicano del Seguro Social, Centro Médico Nacional Siglo XXI, Hospital de Especialidades "Dr. Bernardo Sepúlveda Gutiérrez", Servicio de Gastrocirugía. Ciudad de México, México.
Revista medica del Instituto Mexicano del Seguro Social
|November 15, 2024
概括
经过袖子胃切除术后重修手术以恢复体重是有效的. 在SADI-S程序证明成功减肥和并发症缓解患者先前接受过袖子胃切除术.
科学领域:
- 腹部外科 腹部外科
- 代谢手术 代谢手术
- 胃肠病学 胃肠病学
背景情况:
- 袖子胃切除术是一种常见的减肥手术,但体重恢复是经常面临的挑战.
- 对于那些体重减轻不足或体重恢复不足的患者来说,修复性手术通常是必要的.
- 用袖子胃切除术 (SADI-S) 进行单一解肠道双胞胎 - 叶绕道正在成为一个可行的修改选项.
研究的目的:
- 在墨西哥社会保障研究所报告第一个SADI-S病例,该病例是在重量恢复的袖子胃切除术后的修复手术.
- 评估SADI-S在这个特定患者群体中的疗效和安全性.
主要方法:
- 一名50岁的男性患者患有肥胖 (BMI 48.8) 和并发症,于2019年接受了袖子胃切除术.
- 患者体重显著增加 (49.5%的多余体重损失),并接受了SADI-S修改手术.
- 手术前的体重为138公斤 (BMI为40.3公斤/米2).
主要成果:
- SADI-S手术没有出现并发症,在术后第二天出院.
- 在手术后六个月,患者实现了52%的多余体重减轻 (%EWL).
- 同病症得到解决,实验室检测显示没有营养不良或贫血的迹象.
结论:
- 在袖子胃切除术后体重恢复的患者中,SADI-S似乎是一种有效和安全的修订性减肥手术选择.
- 该程序导致了令人满意的体重减轻和与肥胖相关的并发症的显著改善.
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