对于上层中枢动脉综合征的双胞胎双胞胎术后的结果
Darwin Ang1,2,3, Alana Hofmann4, Abdelrahman Attili5
1Department of Surgery, Morsani College of Medicine, University of South Florida, Tampa, FL, USA.
The American surgeon
|November 21, 2024
概括
双胞胎口腔术 (DD) 手术显著改善了上半导体动脉综合征 (SMAS) 患者的体重和BMI. 这种新的方法为最终的SMAS治疗提供了一个有希望的解决方案,增强营养和生活方式.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 儿科手术 儿科手术
背景情况:
- 上层中枢动脉综合征 (SMAS) 导致由于十二指甲管阻塞导致营养不良.
- 目前的SMAS手术治疗具有很高的失败率 (21%-67%).
- 为SMAS治疗提出了一种新的十二胞胎二胞胎切除术 (DD) 程序.
研究的目的:
- 为了评估SMAS的十二指肠二指肠切除术 (DD) 操作的3年结果.
- 评估DD手术在恢复营养和纠正吸收不良时的疗效.
主要方法:
- 这是一系列12名接受DD手术的SMAS患者的纵向病例.
- 3年间手术前后结果的比较.
- 评估体重,身体质量指数 (BMI) 和铁含量;使用威尔科克森签名等级测试进行统计分析.
主要成果:
- 3年后,体重中位数 (108磅至123.1磅) 和BMI (18.57至20.59) 显著增加 (P <0.05).
- 手术后3个月内铁水平正常化 (45微克/分升至130微克/分升,P=0.046).
- 75%的患者体重和BMI增加;83%的患者在3年内保持正常的BMI范围.
结论:
- 在SMAS患者中,DD手术会导致显著的体重增加和BMI改善.
- 该程序有效地改善了营养状况,并纠正了吸收不良.
- 双胞胎双胞胎口术为最终的SMAS治疗提供了一个有前途的外科选择.
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