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胃食道逆流性疾病10年后腹手术-这是一个问题吗? 一项多中心研究 (BARI-10-POL)
Natalia Dowgiałło-Gornowicz1, Monika Proczko-Stepaniak2, Anna Kloczkowska2
1Department of General, Minimally Invasive and Elderly Surgery, Collegium Medicum, University of Warmia and Mazury, 10-045 Olsztyn, Poland.
胃食道逆流性疾病 (GERD) 在减肥手术后很常见,袖子胃切除术 (SG) 与缓解较差有关. 即使在无症状的患者手术后,内镜检查结果也可能异常.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术的结果
- 消化系统健康 消化系统健康
背景情况:
- 胃食道逆流性疾病 (GERD) 经常在代谢性减肥手术 (MBS) 后持续或发展.
- 内镜评估对于优化MBS前后患者的治疗结果至关重要.
- 了解MBS后的GERD患病率和内学变化至关重要.
研究的目的:
- 为了确定GERD的流行情况,在MBS后10年.
- 分析接受MBS的患者内镜检测结果.
- 在不同的MBS程序中比较GERD结果.
主要方法:
- 对368名接受单次减肥手术的患者进行了回顾性多中心研究.
- 10年来从波兰五个中心 (BARI-10-POL项目) 收集的数据.
- 包括袖子胃切除术 (SG),Roux-en-Y胃绕道术 (RYGB) 和一个解肠胃绕道术 (OAGB).
主要成果:
- 在没有手术前GERD的患者中,有12.3%的患者在术后出现了de novo症状.
- 袖子胃切除术 (SG) 显示GERD缓解的可能性较低 (p=0.005).
- 在MBS前35.8%和MBS后14.1%的患者中发生异常的内镜检测结果,即使在无症状患者中也是如此.
结论:
- 在MBS之后,GERD是一个重大问题,影响了大约四分之一的患者.
- 袖子胃切除术 (SG) 可能与持续性GERD的更高风险和更低的缓解率有关.
- 胃镜检查可以揭示MBS前后无症状患者的异常.
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