Victorzon M
University of Turku and Department of Gastrointestinal Surgery, Vaasa Central Hospital, Vaasa, Finland
Scand J Surg. 2015 Mar;104(1):48-53. doi: 10.1177/1457496914564106. Epub 2014 Dec 10.
Metabolic surgery is evolving and safer, but more effective alternatives are constantly sought for. The single-anastomosis gastric bypass was first described in 2001, and although controversial, this operation is gaining fast in popularity worldwide. This review is aiming at a critical evaluation of the procedure in the light of the literature.
The abstracts of 73 articles were reviewed, and after removal of case studies, duplicates, and irrelevant articles, 10 articles remained for closer review.
Several thousand of this operation have been performed for more than 15 years. It is claimed to be an easier, safer, faster, and more effective metabolic operation compared to the standard Roux-en-Y gastric bypass. The proponents of this operation also claim that this operation is easier to revise and reverse, leaving more options compared to the situation after standard bypass in case of failure. However, there is much controversy surrounding this method, mainly concerning the possible harmful and in the long-term even carcinogenic effects of biliopancreaticoduodenal reflux in the gastric pouch.
The single-anastomosis gastric bypass may be an attractive alternative metabolic operation. However, further studies with robust, long-term follow-up are needed.
代谢手术正在不断发展且更加安全，但人们一直在寻找更有效的替代方法。单吻合口胃旁路术于2001年首次被描述，尽管存在争议，但该手术在全球范围内的受欢迎程度正在迅速上升。本综述旨在根据文献对该手术进行批判性评估。
对73篇文章的摘要进行了回顾，在剔除病例研究、重复文章和无关文章后，剩下10篇文章进行更深入的审查。
这种手术已经实施了数千例，时间超过15年。与标准的 Roux-en-Y 胃旁路术相比，它被认为是一种更简单、更安全、更快且更有效的代谢手术。该手术的支持者还声称，这种手术更容易修改和逆转，与标准旁路手术失败后的情况相比，失败时留下的选择更多。然而，这种方法存在很多争议，主要涉及胃袋中胆胰十二指肠反流可能产生的有害影响，从长远来看甚至可能致癌。
单吻合口胃旁路术可能是一种有吸引力的替代代谢手术。然而，需要进行更有力的长期随访研究。
