15年后的胃带:迁移率和管理
Niculae Iordache1,2, Saleh Abujamra3, Anamaria Nedelcu4
1Carol Davila University of Medicine and Pharmacy, Bucharest, Romania.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|September 29, 2025
概括
腹腔镜调节性胃带 (LAGB) 具有显著的长期并发症风险,包括手术后多年的带迁移. 长期的随访和成像对于进行LAGB的患者的管理至关重要.
科学领域:
- 腹部外科 腹部外科
- 胃肠道手术 胃肠道手术
- 手术并发症 手术并发症
背景情况:
- 腹腔镜调节性胃带 (LAGB) 是一个受欢迎的减肥手术,因为它具有最小的侵入性.
- 对胃内迁移和滑动等长期并发症的担忧使其使用减少.
- 了解这些长期风险对于患者管理至关重要.
研究的目的:
- 评估 laparoscopic可调胃带带 (LAGB) 的长期并发症率.
- 分析LAGB后带迁移和滑动的发生率,表现和管理.
- 强调持续的患者随访的重要性.
主要方法:
- 在2002年至2010年间接受LAGB治疗的411名患者的回顾性审查.
- 分析并发症率,发病时间和管理策略.
- 有178名患者的15年随访数据.
主要成果:
- 带迁移发生在18.5%的患者中,平均发病时间为植入后74个月.
- 重量增加和端口部感染是常见的表现;21.2%是无症状的.
- 带滑动影响了10.7%的患者,超过60%需要干预.
结论:
- 拉格手术带有长期并发症的重大风险,特别是带迁移,这可能在手术后的十年内表现出来.
- 建议对LAGB患者进行常规上部肠道成像,特别是那些患有端口部感染的人.
- 个性化管理和长期警对于接受LAGB的患者至关重要.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
823
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
823
Gastroesophageal Reflux Disease II: Clinical Features and Management
698
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
698
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
843
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
843
Gastritis III: Clinical Manifestations and Management
1.2K
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
1.2K
Barrett Esophagus-II: Clinical Manifestations and Management
796
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
796


