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肥胖人群的胆道问题。

Biliary issues in the bariatric population.

机构信息

Department of General and Vascular Surgery, Gundersen Health System, 1900 South Avenue, C05-001, La Crosse, WI 54601, USA.

Department of General and Vascular Surgery, Gundersen Health System, 1900 South Avenue, C05-001, La Crosse, WI 54601, USA.

出版信息

Surg Clin North Am. 2014 Apr;94(2):413-25. doi: 10.1016/j.suc.2014.01.003. Epub 2014 Feb 18.

DOI:10.1016/j.suc.2014.01.003
PMID:24679429
Abstract

Biliary disease is common in the obese population and increases after bariatric surgery. This article reviews management of the gallbladder at the time of bariatric surgery, as well as imaging modalities in the bariatric surgery population and prevention of lithogenesis in the rapid weight loss phase. In addition, diagnosis and treatment options for biliary diseases are discussed, including laparoscopic-assisted percutaneous transgastric endoscopic retrograde cholangiopancreatography in the patient having bariatric surgery.

摘要

胆道疾病在肥胖人群中很常见，并且在减重手术后会增加。本文回顾了减重手术时胆囊的处理方法，以及肥胖人群中的影像学检查方法和快速减重阶段防止结石形成的方法。此外，还讨论了胆道疾病的诊断和治疗选择，包括在接受减重手术的患者中行腹腔镜辅助经皮经胃内镜逆行胰胆管造影术。

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