关于内镜袖口整形术 (ESG) 的立场陈述和指导方针,也称为"内袖"
Clément Baratte1, Hugues Sebbag2, Laurent Arnalsteen3
1Department of General, Digestive, Bariatric and Oesogastric SurgeryUniversity of Paris, centre de recherche sur l'inflammation UMR 1149, hôpital Bichat - Claude-Bernard, Assistance publique-Hôpitaux de Paris, Inserm, 46, rue Henri-Huchard, 75018 Paris, France.
Journal of visceral surgery
|January 10, 2025
概括
内镜套胃整形术 (ESG) 是一种有效的治疗肥胖和相关疾病的方法,可显著减肥和改善并发症. 虽然ESG比手术袖子胃切除术短期的影响较小,但ESG提供了可比的长期并发症解决方案,具有有利的安全性.
科学领域:
- 腹和代谢手术 腹和代谢手术
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
背景情况:
- 肥胖是一种复杂的慢性疾病,需要有效的治疗干预措施.
- 透镜袖口腔整形 (ESG) 已成为减肥的不那么侵入性的选择.
- 评估ESG的疗效,安全性和适应症对于临床实践至关重要.
研究的目的:
- 评估内镜袖胃整形术 (ESG) 在治疗肥胖和相关并发症方面的有效性.
- 评估与ESG相关的安全概况和风险.
- 确定适应症,管理方法,以及有资格执行ESG的医疗保健专业人员.
主要方法:
- 系统审查关于ESG有效性和安全性的文献.
- 对外科手术期间管理方案和多学科护理需求的分析.
- 审查国际科学社会的建议和指导方针.
主要成果:
- 在减肥和并发症改善方面,ESG表现出比单独改变生活方式更大的有效性.
- ESG显示可比的并发症解决方案,以拉巴镜袖子胃切除术 (LSG),并发症率低 (1.5-2.3%).
- 新发的GERD在ESG后很少见,比SG后更少发生.
结论:
- ESG是一种有效和安全的肥胖治疗选择,特别适用于I和II类肥胖患者或不适合代谢性减肥手术的患者.
- 在认可的中心提供多学科的护理,并遵守后续工作对于成功的ESG结果至关重要.
- 国际社会认可ESG作为一种有价值的治疗工具,强调患者选择和长期结果评估.
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