在接受减肥手术的患者中如何管理腹腔透析? 一个单个学术中心的案例系列
Abdulaziz Ali Karam1,2, Ali Safar1, Phil Vourtzoumis1
1Centre for Bariatric Surgery, Department of Surgery, McGill University, Montreal, QC, Canada.
Surgical endoscopy
|May 19, 2025
概括
腹腔外科手术,包括腹腔镜袖子胃切除术,对于在腹腔透析等待移植的严重肥胖患者来说是安全的. 大多数患者在术后六周内可以恢复腹腔透析,而不会出现重大并发症.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 腹部外科 腹部外科
- 移植 移植 移植 移植
背景情况:
- 在依赖透析的患者中,严重的肥胖症对移植 (KT) 提供了挑战.
- 在接受减肥手术的肥胖患者中进行腹腔透析 (PD) 的管理缺乏广泛的文献.
- 这项研究概述了一项管理重度肥胖的PD患者进行减肥手术的协议,强调跨学科的护理.
研究的目的:
- 描述严重肥胖的透析依赖患者接受腹手术的管理方案.
- 突出多学科团队在管理这一患者群体中的作用.
- 评估在PD等待KT的PD患者减肥手术的安全性和结果.
主要方法:
- 对接受减肥手术的PD-依赖患者的回顾性审查 (2017年1月至2024年12月).
- 收集的数据包括人口统计,BMI,透析过渡和术后结果.
- 专注于患有严重肥胖症 (BMI ≥40 kg/m2) 的患者.
主要成果:
- 66名透析依赖患者中,有11名在手术前接受透析治疗 (平均年龄为51岁,82%为男性,平均体重指数为41公斤/米2).
- 所有患者都接受了腹腔镜袖胃切除术 (SG);70%在手术前一周内过渡到血液透析 (HD).
- 患者在手术后6周的中位数内恢复PD,没有30天的再入院或重大并发症.
结论:
- laparoscopic 袖子胃切除术是严重肥胖的PD-依赖患者的安全程序.
- SG可以作为通往或等待移植的桥梁.
- 腹膜透析可以在手术后六周内安全地恢复.
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