在Roux-en-Y绕道术后,糖综合征的外科治疗
Nafiye Busra Celik1, Jorge Cornejo1, Lorna A Evans1
1Department of Surgery, Mayo Clinic Florida, Jacksonville, Florida.
概括
在Roux-en-Y绕道 (RYGB) 后切割糖果棒 (CC) 肢体可以安全地解决恶心和吐等症状. 外科医生应该考虑在初始RYGB期间切除多余的Rux肢体,以防止CC综合征.
科学领域:
- 腹部外科 腹部外科
- 胃肠道手术 胃肠道手术
- 手术并发症 手术并发症
背景情况:
- 糖果 (CC) 综合征是Roux-en-Y绕道 (RYGB) 后的一个并发症.
- 它的特征在于在胃口中长,小肠盲肢,可能是由圆形接器引起的.
- 这种情况可能会导致患者显著的不适和并发症.
研究的目的:
- 报告机构对CC切除的经验.
- 为了评估RYGB之后的CC切除后的结果和症状改善.
- 确定预防CC综合征的策略.
主要方法:
- 从2017年到2023年接受CC切除的患者的回顾性分析.
- 纳入标准:通过上部胃肠道研究和内镜检查可视化 afferent 盲肢的患者.
- 收集的数据包括症状,手术细节和体重变化.
主要成果:
- 29名患者 (83%为女性,平均年龄为50.3岁) 接受了CC切除.
- 平均CC长度为7.5厘米;58.6%的人同时进行了手术.
- 在8.5个月的随访中观察到显著的症状减少 (胀气,恶心,吐,消化不良);BMI从32.1降至29.1kg/m2.
结论:
- 盲 afferent 肢体的切割是安全和有效的.
- 优秀的症状解决是可以实现的,即使是同时进行的手术.
- 在初始RYGB期间切除多余的Rux肢体可以预防CC综合征.
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