袖状胃切除术与胃食管反流病
Sleeve gastrectomy and gastroesophageal reflux disease.
作者信息
Laffin Michael, Chau Johnny, Gill Richdeep S, Birch Daniel W, Karmali Shahzeer
机构信息
Department of Surgery, University of Alberta, Edmonton, AB, Canada.
出版信息
J Obes. 2013;2013:741097. doi: 10.1155/2013/741097. Epub 2013 Jul 15.
Abstract
Bariatric surgery, when combined with lifestyle and medical interventions, is a common and successful treatment modality in the obese patient. Laparoscopic sleeve gastrectomy is one such procedure that has increased in popularity as a definitive bariatric operation. Although laparoscopic sleeve gastrectomy has been shown to be effective in producing weight loss and improving type 2 diabetes mellitus, its effect on gastroesophageal reflux disease (GERD) has been inconsistent. This paper aims to summarize the available literature regarding GERD prevalence following laparoscopic sleeve gastrectomy, 8 studies demonstrate increased GERD prevalence, and 5 demonstrate decreased GERD prevalence following laparoscopic sleeve gastrectomy. The relationship between GERD and SG is complex and no clear relationship exists. The anatomic and physiologic changes caused by laparoscopic sleeve gastrectomy are discussed in the context of these inconsistent results.
摘要
减肥手术与生活方式及药物干预相结合时，是肥胖患者常见且成功的治疗方式。腹腔镜袖状胃切除术就是这样一种作为确定性减肥手术而越来越受欢迎的手术。尽管腹腔镜袖状胃切除术已被证明在减重和改善2型糖尿病方面有效，但其对胃食管反流病（GERD）的影响并不一致。本文旨在总结关于腹腔镜袖状胃切除术后GERD患病率的现有文献，8项研究表明腹腔镜袖状胃切除术后GERD患病率增加，5项研究表明患病率降低。GERD与袖状胃切除术之间的关系很复杂，不存在明确的关联。在这些不一致的结果背景下，讨论了腹腔镜袖状胃切除术引起的解剖和生理变化。
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