年轻成年人腹转化手术 ≤40:谁会转化,以及转化后续手术的比较风险
Jeremy Peabody1, Sukhdeep Jatana1, Kevin Verhoeff1
1Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
概括
接受减肥手术转换的年轻人面临着不同的并发症风险. 从可调节的胃带切除术转换为袖子胃切除术,从袖子胃切除术转换为单个解肠道双胞胎 - 叶绕道,可能会提供更安全的结果.
科学领域:
- 腹腔外科手术的结果
- 最少侵入性的外科手术程序.
- 胃肠道手术并发症 胃肠道手术并发症
背景情况:
- 在40岁以下的成年人中,减肥手术的发生率越来越高.
- 越来越需要修订或转换的减肥手术.
研究的目的:
- 描述40岁或更年轻的患者转换性减肥手术的患者特征和手术细节.
- 为了比较与不同转换手术相关的并发症率:袖子胃切除术 (SG),Roux-en-Y胃绕道 (RYGB),单次解肠道双结节绕道 (SADI-S) 和胆分离-双结节切换 (BPD/DS).
主要方法:
- 从2020-2022年期间的MBSAQIP中心 (美国和加拿大) 分析数据.
- 包括40岁以下接受转换手术的患者.
- 多变量分析以评估从可调节胃带 (AGB) 或SG转换后的30天并发症.
主要成果:
- 转换的最常见原因:RYGB的GERD,SADI-S和BPD/DS的体重减轻不足.
- 与SG相比,转换为RYGB和BPD/DS与30天并发症风险增加有关.
- 从AGB转换为RYGB显示出比转换为SG更高的并发症风险.
- 从SG转换到SADI-S的并发症风险低于转换到RYGB或BPD/DS.
结论:
- 不同的转换减肥手术表现出不同的并发症概况.
- 与其他转换途径相比,从AGB转换为SG和从SG转换为SADI-S可能与更少的并发症有关.
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