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[腹腔镜胃旁路术和迷你胃旁路术对肥胖2型糖尿病患者的短期疗效]

[Short-term outcome of laparoscopic gastric bypass and minigastric bypass on obesity patients with type 2 diabetes mellitus].

作者信息

Hu Xu-guang, Zheng Cheng-zhu, Ji Xin-rong, Zhou Dong-lei, Chen Dan-lei, Yin Kai, Ke Chong-wei

机构信息

Department of Minimal Invasive Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2009 Nov;12(6):554-7.

PMID:19921561
Abstract

OBJECTIVE

To evaluate the short-term outcome of laparoscopic gastric bypass on obesity patients with type 2 diabetes mellitus.

METHODS

Seven obesity patients with type 2 diabetes mellitus received laparoscopic gastric bypass(n=1) or laparoscopic minigastric bypass(n=6), and their data of treatment outcomes were analyzed.

RESULTS

The operations were all successfully performed without any complications. The average operation time was 125 minutes(range: 100 to 170 minutes). The patients underwent 1-18 months follow-up after operation. Diabetic indicators returned to normal without any medication and body weight reduced by on average of 24.3 kg.

CONCLUSION

Laparoscopic gastric bypass and minigastric bypass have good short-term outcome in the treatment of obesity patients with type 2 diabetes mellitus.

摘要

目的

评估腹腔镜胃旁路手术治疗2型糖尿病肥胖患者的短期疗效。

方法

7例2型糖尿病肥胖患者接受了腹腔镜胃旁路手术(1例)或腹腔镜迷你胃旁路手术(6例),并对其治疗结果数据进行分析。

结果

手术均成功完成,无任何并发症。平均手术时间为125分钟(范围:100至170分钟)。患者术后接受了1至18个月的随访。糖尿病指标在未使用任何药物的情况下恢复正常,体重平均减轻24.3千克。

结论

腹腔镜胃旁路手术和迷你胃旁路手术在治疗2型糖尿病肥胖患者方面具有良好的短期疗效。

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Hand-assisted laparoscopic gastric bypass does not improve outcome and increases costs when compared to open gastric bypass for the surgical treatment of obesity.与开放式胃旁路手术相比,手辅助腹腔镜胃旁路手术在肥胖症手术治疗中并不能改善治疗效果,反而会增加成本。
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引用本文的文献

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Controversy surrounding 'mini' gastric bypass.迷你胃旁路术引发争议。
Obes Surg. 2014 Feb;24(2):324-33. doi: 10.1007/s11695-013-1090-0.
2
"Mini" gastric bypass: systematic review of a controversial procedure.迷你胃旁路术:一项有争议手术的系统评价。
Obes Surg. 2013 Nov;23(11):1890-8. doi: 10.1007/s11695-013-1026-8.