单吻合口胃旁路术（单吻合口胃旁路术或迷你胃旁路术）：必须考虑毕罗Ⅱ式手术的经验，这对未来几年来说是一项挑战。
SINGLE ANASTOMOSIS GASTRIC BYPASS (ONE ANASTOMOSIS GASTRIC BYPASS OR MINI GASTRIC BYPASS): THE EXPERIENCE WITH BILLROTH II MUST BE CONSIDERED AND IS A CHALLENGE FOR THE NEXT YEARS.
作者信息
Braghetto Italo, Csendes Attila
机构信息
Department of Surgery, Faculty of Medicine, University of Chile, Hospital José Joaquin Aguirre, Santiago, Chile.
出版信息
Arq Bras Cir Dig. 2017 Oct-Dec;30(4):267-271. doi: 10.1590/0102-6720201700040010.
INTRODUCTION
Single anastomosis gastric bypass (one anastomosis gastric bypass or mini-gastric bypass) has been presented as an option of surgical treatment for obese patients in order to reduce operation time and avoiding eventual postoperative complications after Roux-en-Y gastric bypass.The main late complication could be related to bile reflux.
AIM
To report the experiences published after Billroth II anastomosis and its adverse effects regarding symptoms and damage on the gastric and esophageal mucosa .
METHOD
For data recollection Medline, Pubmed, Scielo and Cochrane database were accessed, giving a total of 168 papers being chosen 57 of them.
RESULTS
According the reported results during open era surgery for peptic disease and more recent results for gastric cancer surgery, bile reflux and its consequences are more frequent after Billroth II operation compared to Roux-en-Y gastrojejunal anastomosis.
CONCLUSION
These findings must be considered for the indication of bariatric surgery.
引言
单吻合口胃旁路术（单吻合胃旁路术或迷你胃旁路术）已被视为肥胖患者外科治疗的一种选择，旨在减少手术时间并避免Roux-en-Y胃旁路术后可能出现的术后并发症。主要的晚期并发症可能与胆汁反流有关。
目的
报告毕罗Ⅱ式吻合术后发表的经验及其对胃和食管黏膜症状及损伤的不良影响。
方法
为收集数据，检索了Medline、Pubmed、Scielo和Cochrane数据库，共筛选出168篇论文，其中57篇被选中。
结果
根据开放性时代消化性疾病手术的报告结果以及近期胃癌手术的结果，与Roux-en-Y胃空肠吻合术相比，毕罗Ⅱ式手术后胆汁反流及其后果更为常见。
结论
在考虑进行减肥手术时必须考虑这些发现。
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