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腹腔镜迷你胃旁路术在代谢综合征管理中的作用

The Role of Laparoscopic Mini-Gastric Bypass in Management of Metabolic Syndrome.

作者信息

Abdallah El-Husseiny Mahmoud, Abdel-Moneim Ashraf Abdel-Hameed, Abdel-Maksoud Mohammed Arafat, Hammad Kamel Suliman

机构信息

Department of Surgery, Al-Azhar University, Cairo, Egypt.

Department of Surgery, Al-Azhar University, Cairo, Egypt.

出版信息

Diabetes Metab Syndr. 2018 Jul;12(4):491-495. doi: 10.1016/j.dsx.2018.03.010. Epub 2018 Mar 16.

DOI:10.1016/j.dsx.2018.03.010
PMID:29574099
Abstract

OBJECTIVE

The study was performed to evaluate the technique of laproscopic minigastric bypass for metabolic syndrome patients.

STUDY DESIGN

The patients were enrolled in a combined prospective study and had a retrospectively gathered outcome analysis.

PATIENT AND METHODS

The study includes thirty patients; 24 females and 6 males suffering from metabolic syndrome with a mean age of 33.15 ± 10.17 years (range, 20-59), who fulfilled the criteria for bariatric surgery with BMI >35 with associated co-morbidities, all patients underwent laparoscopic mini-gastric bypass.

RESULTS

BMI and WC were significantly reduced post-operatively; also co-morbidities as DM, hypertension and dyslipidemia were resolved or controlled. The mean operative time was 90 ± 12.6 min (range, 80-120). No mortality was reported within 30 days of surgery.

CONCLUSION

Laparoscopic mini gastric bypass is an effective procedure for the treatment of obesity, HTN, type 2 DM and dyslipidemia, technically feasible, safe operation with a low rate of major postoperative complications.

摘要

目的

本研究旨在评估腹腔镜迷你胃旁路手术治疗代谢综合征患者的技术。

研究设计

患者纳入一项前瞻性联合研究,并进行回顾性收集的结果分析。

患者与方法

本研究包括30例患者,其中24例女性和6例男性患有代谢综合征,平均年龄33.15±10.17岁(范围20 - 59岁),符合BMI>35且伴有相关合并症的减重手术标准,所有患者均接受腹腔镜迷你胃旁路手术。

结果

术后BMI和腰围显著降低;糖尿病、高血压和血脂异常等合并症也得到缓解或控制。平均手术时间为90±12.6分钟(范围80 - 120分钟)。术后30天内无死亡报告。

结论

腹腔镜迷你胃旁路手术是治疗肥胖、高血压、2型糖尿病和血脂异常的有效方法,技术上可行,手术安全,术后主要并发症发生率低。

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