腹手术候选患者内镜检查结果
Nicolás Airaldi1, Manuel García1, Agustín R Gigena1
1Sanatorio Allende de Córdoba. Provincia de Córdoba, Argentina. Sanatorio Allende de Córdoba Córdoba Argentina.
Acta gastroenterologica Latinoamericana
|December 4, 2025
概括
常规上部胃肠道内镜对于减肥手术候选人是建议的. 术前发现显著影响手术决策和患者的结果,突出显示肥胖和消化系统疾病之间的联系.
科学领域:
- 胃肠病学和腹腔外科 腹腔外科
背景情况:
- 肥胖是各种胃肠道疾病的重要危险因素,包括GERD,侵蚀性食道炎和缺口.
- 这些情况可能会影响在减肥手术中选择手术技术.
研究的目的:
- 为了评估上部胃肠道发现的患病率在接受减肥手术术前评估的患者.
- 确定这些发现对手术规划和患者管理的影响.
主要方法:
- 追溯性,描述性,横截面研究.
- 对前性收集的704名肥胖患者数据库的分析.
- 在2016年1月至2022年6月期间进行系统的术前胃肠上部内镜检查.
主要成果:
- 在98.9%的患者中发现了胃病;食道疾病在11.6%.
- 侵蚀性食道炎的患病率为9.8%.
- 19.7%的发现需要医疗治疗,4%改变了手术的决定.
结论:
- 肥胖和上部消化道疾病之间存在强烈的联系.
- 常规上部胃肠道内镜对于减肥手术候选人至关重要.
- 内镜检查结果可能会影响术后的演变和手术策略.
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