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肥胖症合并艾滋病患者的袖状胃切除术

SLEEVE GASTRECTOMY IN PATIENTS WITH MORBID OBESITY AND HIV.

作者信息

Pinto José Máximo Costa, Lima Marianna Gomes Cavalcanti Leite de, Almeida Ana Luiza Melo Cavalcanti de, Sousa Marcelo Gonçalves

机构信息

Department of Surgery, Paraíba Federal University, João Pessoa, PB, Brazil.

出版信息

Arq Bras Cir Dig. 2016;29Suppl 1(Suppl 1):124-127. doi: 10.1590/0102-6720201600S10030.

Abstract

INTRODUCTION

It is estimated that there are nearly 40 million people with the human immunodeficiency virus (HIV) worldwide. Due to the advent of antiretroviral drugs, it has been observed increasing in obesity and metabolic rates among patients undergoing treatment. Thus, numerous surgical therapies for weight loss are proposed for continuous improvement in health of patients with HIV, being the vertical gastrectomy an option for intact intestinal transit.

OBJECTIVE

To evaluate the applicability of the vertical gastrectomy in patients with morbid obesity and HIV.

METHODS

Was conducted a systematic review of the literature, in the electronic databases Scopus, Pubmed, Cinahl, Scielo, Cochrane and Lilacs, from 1998 to 2015. MeSH headings used in data collection were "Gastrectomy" and "Morbid obesity" being combined with the descriptor "HIV". Were found 2148 articles in Scopus, 1234 in PubMed and 784 in Cinahl. The articles were analyzed by the Jadad Quality Scale, being reduced to 40 articles, subsequently reassessed using an elaborated form by the Critical Appraisal Skills Programme (CASP), reaching 12 articles in the end.

CONCLUSION

It was found that vertical gastrectomy constitutes a safe and effective method, with low mortality and low rate of postoperative complications, being recommended as surgical technique in patients with obesity, HIV and comorbidities.

摘要

引言

据估计,全球有近4000万人感染人类免疫缺陷病毒(HIV)。由于抗逆转录病毒药物的出现,接受治疗的患者中肥胖和代谢率上升的情况已被观察到。因此,为了持续改善HIV患者的健康状况,人们提出了多种减肥手术疗法,垂直胃切除术是一种能保持肠道正常蠕动的选择。

目的

评估垂直胃切除术在病态肥胖且感染HIV患者中的适用性。

方法

对1998年至2015年期间电子数据库Scopus、Pubmed、Cinahl、Scielo、Cochrane和Lilacs中的文献进行了系统综述。数据收集时使用的医学主题词为“胃切除术”和“病态肥胖”,并与描述词“HIV”相结合。在Scopus中找到2148篇文章,在PubMed中找到1234篇,在Cinahl中找到784篇。文章通过Jadad质量量表进行分析,筛选后剩下40篇文章,随后使用批判性评估技能计划(CASP)制定的详细表格进行重新评估,最终确定了12篇文章。

结论

发现垂直胃切除术是一种安全有效的方法,死亡率低,术后并发症发生率低,被推荐作为肥胖、感染HIV及合并其他疾病患者的手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc34/5064272/7ed049f5e8af/0102-6720-abcd-29-s1-00124-gf1.jpg

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