在近端胃切除术后,阴影症和术后胃食道逆流之间的关系
Takaomi Ozawa1, Suguru Maruyama1, Katsutoshi Shoda1
1First Department of Surgery, Faculty of Medicine University of Yamanashi Chuo Yamanashi Japan.
Annals of gastroenterological surgery
|September 9, 2025
概括
阴影症显著增加了近腹切除术 (PG) 后患胃食道逆流病 (GERD) 的风险. 患有阴影症的患者患上术后GERD的风险更高,需要采用替代的预防策略.
科学领域:
- 胃肠道学和外科瘤学
- 脊柱健康与生物力学
背景情况:
- 随着预期寿命的增加,症的患病率正在上升.
- 胃食道逆流性疾病 (GERD) 是患有囊症的患者常见的胃肠道并发症.
- 靠近胃切除术 (PG) 具有术后GERD的高风险.
研究的目的:
- 为了研究阴影症和手术后GERD的发病率之间的联系.
- 评估PG后GERD的密的预测价值.
主要方法:
- 这是一项对54名接受PG治疗的患者的回顾性研究.
- 从CT扫描中使用胸部/腰部角比 (T/L比) (T/L比≥20091.25) 进行术前评估.
主要成果:
- 15名患者 (27.8%) 患有阴影症.
- 术后GERD的发病率明显高于基症组 (33.3%) 与正常组相比 (5.1%,p=0.01).
- 阴影是术后GERD的一个独立预测因子 (OR,18.7;p=0.02).
结论:
- 阴影症与PG后手术后GERD发生率的增加显著相关.
- 建议在接受PG的阴影症患者考虑采取替代预防措施.
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