胃折叠术治疗病态肥胖：系统评价。
Gastric plication for morbid obesity: a systematic review.
机构信息
Case Medical Center, Case Western Reserve University, Cleveland, OH 44106, USA.
出版信息
Obes Surg. 2012 Oct;22(10):1633-9. doi: 10.1007/s11695-012-0723-z.
BACKGROUND
Gastric plication is a new bariatric procedure. Controversies exist regarding this emerging surgery. We herein present a comprehensive review of the literature regarding gastric plication approach.
METHODS
Advanced Pub Med search combining the MeSH terms "Gastric plication", OR "Gastric greater curvature plication" yielded 213 abstracts. Abstracts were screened for articles in English and articles on human subjects yielding 130. Further searches revealed 121 titles to be unrelated to gastric plication. The remaining nine abstracts were analyzed for their full texts. Two articles were excluded because, one was a commentary on another article, and the other was a released ASMBS policy on gastric plication. In the end, there were seven articles published on gastric plication.
RESULTS
A total of 307 patients had undergone gastric plication. The mean operative time range was 40 to 150 min. The median length of hospital stay ranged between 1.3 and 1.9 days. In respect to excess weight loss (EWL), at 6 months, it ranged from 54 to 51 %, while at 12 months 67-53.4 %. The longest follow-up was 3 years with a mean of 57 % EWL.
CONCLUSION
Laparoscopic gastric plication is still in its infancy. Prospective randomized studies comparing gastric plication to other well established bariatric procedures are needed to prove the reliability and metabolic effectiveness of such new procedure.
背景
胃折叠术是一种新的减肥手术。关于这种新兴手术存在争议。我们在此对胃折叠术方法的文献进行了全面回顾。
方法
通过高级 Pub Med 搜索，结合 MeSH 术语“胃折叠术”或“胃大弯折叠术”，共获得 213 篇摘要。筛选出英文文章和人类研究文章的摘要，得到 130 篇。进一步的搜索显示，有 121 个标题与胃折叠术无关。其余 9 个摘要的全文进行了分析。有两篇文章因一篇是对另一篇文章的评论，另一篇是 ASMBS 关于胃折叠术的政策而被排除在外。最终，有 7 篇关于胃折叠术的文章发表。
结果
共有 307 例患者接受了胃折叠术。手术时间的平均范围为 40 至 150 分钟。住院时间中位数在 1.3 至 1.9 天之间。关于超重减轻（EWL），6 个月时范围为 54%至 51%，12 个月时为 67%-53.4%。最长的随访时间为 3 年，平均 EWL 为 57%。
结论
腹腔镜胃折叠术仍处于起步阶段。需要进行前瞻性随机研究，将胃折叠术与其他成熟的减肥手术进行比较，以证明这种新手术的可靠性和代谢效果。
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