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内镜外套胃塑造术的短期结果
Mohammad Jamal1,2,3,4, Mohsen Alhashemi5,6,7, Saad Althuwaini6
1The Clinic, Kuwait, Kuwait. mohammad.jamal@ku.edu.kw.
Surgical endoscopy
|July 2, 2025
概括
内镜套胃形成术 (ESG) 在科威特成年人中有效降低体重,在12个月内显示出显著的总体体重减轻. 这种微创手术为减肥手术提供了一个安全的替代方案,并发症率低.
科学领域:
- 减肥和代谢医学
- 胃肠病学 胃肠病学
- 最少侵入性的手术
背景情况:
- 肥胖是一种全球性慢性疾病,患病率正在上升.
- 代谢和减肥手术 (MBS) 是有效的,但不适合所有患者.
- 内镜外套胃形成术 (ESG) 提供了一种安全的,最少侵入性的体重管理替代方案.
研究的目的:
- 评估ESG在科威特人口中的短期有效性和安全性.
- 评估ESG后的减肥结果和并发症率.
- 为了确定ESG的可行性作为MBS的替代品在这个人口群体.
主要方法:
- 一项前性队列研究,涉及61名成人患者,BMI>30公斤/平方米或>27.5公斤/平方米,并发病.
- 患者从2023年1月到2024年8月在科威特的一家公立医院接受了ESG.
- 随访时间为12个月,评估体重减轻和安全结果.
主要成果:
- 在61名患者中,有49名患者完成了12个月的随访.
- 平均%TBWL在12个月后达到16.1% (p < 0.0001).
- 在12个月内,57%的患者达到>15%的TBWL,20%的患者达到正常的BMI;并发症轻微且无创.
结论:
- 对于科威特人来说,ESG是一种有效和安全的减肥干预措施.
- 该程序导致显著的体重减轻,并且在12个月内并发症率低.
- 对于不适合或更愿意避免MBS的患者来说,ESG是一种可行的替代方案.
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