Gumbs Andrew A, Gagner Michel, Dakin Gregory, Pomp Alfons
New York-Presbyterian Hospital, Division of Laparoscopy, NY, USA.
Obes Surg. 2007 Jul;17(7):962-9. doi: 10.1007/s11695-007-9151-x.
The rising prevalence of morbid obesity and the increased incidence of super-obese patients (BMI >50 kg/m2) seeking surgical treatments has led to the search for surgical techniques that provide adequate EWL with the least possible morbidity. Sleeve gastrectomy (SG) was initially added as a modification to the biliopancreatic diversion (BPD) and then combined with a duodenal switch (DS) in 1988. It was first performed laparoscopically in 1999 as part of a DS and subsequently done alone as a staged procedure in 2000. With the revelation that patients experienced weight loss after SG, interest in using this procedure as a bridge to more definitive surgical treatment has risen. Benefits of SG include the low rate of complications, the avoidance of foreign material, the maintenance of normal gastro-intestinal continuity, the absence of malabsorption and the ability to convert to multiple other operations. Reduction of the ghrelin-producing stomach mass may account for its superiority to other gastric restrictive procedures. SG should be in the armamentarium of all bariatric surgeons. Nonetheless, long-term studies are necessary to see if it is a durable procedure in the treatment of morbid obesity.
病态肥胖的患病率不断上升，寻求手术治疗的超级肥胖患者（体重指数>50kg/m²）的发病率增加，这促使人们寻找能在尽可能降低发病率的情况下提供足够的体重减轻效果的手术技术。袖状胃切除术（SG）最初是作为胆胰分流术（BPD）的一种改良术式加入的，1988年又与十二指肠转位术（DS）相结合。1999年首次作为DS的一部分进行腹腔镜手术，随后在2000年作为分期手术单独进行。随着发现患者在接受SG后体重减轻，将该手术用作更确定性手术治疗的桥梁的兴趣也随之增加。SG的优点包括并发症发生率低、避免使用异物、维持正常的胃肠道连续性、不存在吸收不良以及能够转换为多种其他手术。减少产生胃饥饿素的胃容量可能是其优于其他胃限制性手术的原因。SG应成为所有减重外科医生的手术方式之一。尽管如此，仍需要进行长期研究以确定它在治疗病态肥胖方面是否是一种持久有效的手术。
