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在退伍军人事务医疗中心的袖子胃切除术的长期结果
Fatima Khambaty1, R Natalie Reed2, James Alex Randall3
1Department of Surgery, Washington DC VA Medical Center, Washington, District of Columbia, USA.
概括
腹腔镜袖胃切除术 (LSG) 对患有病态肥胖症的退伍军人有效,显著减少了糖尿病和高血压等并发症. 长期随访表明,在这个人群中,体重管理的持续安全性和有效性.
科学领域:
- 腹部外科 腹部外科
- 肥胖医学 肥胖医学
- 退伍军人健康 退伍军人的健康
背景情况:
- laparoscopic袖子胃切除术 (LSG) 是疾病肥胖的主要减肥手术.
- 有限的长期结果数据存在于LSG,特别是在退伍军人群中.
研究的目的:
- 为了评估退伍军人的LSG后的长期体重减轻.
- 评估该人口群体中LSG后并发症的解决.
- 为了确定LSG在退伍军人队列中的安全性和有效性.
主要方法:
- 对前性维护的LSG患者数据库 (2013-2019) 的回顾性审查.
- 分析手术前的因素,5年后的体重减轻,并发症解决和病情.
- 使用SAS版本9.4.4的单变量和多变量分析.
主要成果:
- 153名患者接受了LSG,其中98.7%的患者实现了5年的随访.
- 在5年内观察到糖尿病,高血压,GERD和睡眠呼吸暂停率的显著降低 (P < .001).
- 平均总体重减轻为13.5%;没有术后死亡;术前BMI预测了术后BMI.
结论:
- LSG是一种安全有效的减肥手术,用于患有病态肥胖症的退伍军人.
- LSG导致常见的并发症的显著解决.
- 持续收集术后数据对于优化退伍军人护理至关重要.
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