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在腹腔镜袖子胃切除术后的决定后悔和长期体重演变,作为通往移植的桥梁
Xin Yu Yang1, Pamela Brazeau-Porrello1, Roy Hajjar1
1Division of General Surgery, Faculty of Medicine, Université de Montréal, Montréal, QC, Canada.
Frontiers in transplantation
|October 17, 2025
概括
对于脏移植 (KT) 候选人来说, laparoscopic袖子胃切除术 (LSG) 提供了有效的,持久的减肥,患者的遗憾是最小的. 大多数患者报告没有遗憾,重视长期体重管理的好处LSG在移植之前.
科学领域:
- 腹部外科 腹部外科
- 腎臟病學 (nephrology) 是一種醫學.
- 移植手术 移植手术
背景情况:
- 腹腔镜袖胃切除术 (LSG) 是一种公认的减肥手术,用于显著减肥.
- 肥胖是影响移植 (KT) 结果和候选人资格的主要并发症.
- 评估KT候选人的LSG患者满意度和长期疗效至关重要.
研究的目的:
- 评估患者在接受LSG作为前KT减肥干预后的满意度和遗憾.
- 评估通过LSG在这个特定患者群体中实现的减肥的长期持久性.
主要方法:
- 从2012年至2019年间,追溯分析了一组在KT等候名单之前接受LSG的患者.
- 使用决策遗憾量表 (DRS) 来评估对LSG决策的满意度.
- 收集和分析了长期体重演变数据.
主要成果:
- 在平均8年的随访中,67%的患者报告没有后悔,22%的患者表示轻度后悔,11%的患者表示中度至强度后悔.
- 在LSG后成功减肥与更低的遗憾水平显著相关 (p=0.005).
- 显著的BMI下降持续了10多年,在KT后的7年内仍然较低.
结论:
- 对于KT候选人来说,LSG是一种非常令人满意的移植前减肥策略,与非常低的遗憾相关.
- LSG提供持久的,长期的减肥,支持其在优化移植候选人的作用.
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