General Surgery Department, Rashid Hospital, Dubai Health Authority, P.O. 4545, Dubai, United Arab Emirates.
Radiology Department, Rashid Hospital, Dubai Health Authority, Dubai, United Arab Emirates.
Obes Surg. 2018 Sep;28(9):2696-2699. doi: 10.1007/s11695-018-3210-3.
Routine use of preoperative abdominal ultrasound for patients undergoing bariatric surgery is controversial. Despite that some physicians routinely implement it, others consider it unnecessary and not cost effective because it does not have a clear clinical significance in the preparation of bariatric patients.
To investigate whether routine abdominal ultrasound prior to bariatric surgery affects the surgical plan or not.
We reviewed medical records of patients with abdominal ultrasound before bariatric surgery in Rashid Hospital between June 2014 and December 2016. Patients were divided into four groups: group 0 included patients with normal abdominal ultrasound, group 1 included abnormalities that did not affect timing or type of procedure, group 2 included findings that did not affect surgical plan but needed postoperative follow-up, and group 3 included abnormalities that had a direct impact on the procedure.
One thousand one hundred twenty files were reviewed. Results were missing in 183 files, thus excluded; remaining 937 files were included. Mean age of patients was 37 ± 12 years, 589 (63%) were females and 348 (37%) were males. Mean BMI was 45.1 ± 9.8 kg/m. Ultrasound was normal in 354 (37.7%) of patients and abnormal in 583 (62.3%).
Routine abdominal ultrasound does not seem to have an important part in preoperative preparation of patients before bariatric surgery. Further studies could be helpful in discussing this role and building up clear solid evidence and guidelines that could be approved by international bariatric associations regarding the indication of preoperative abdominal ultrasound before bariatric surgery.
对于接受减重手术的患者，常规使用术前腹部超声检查存在争议。尽管一些医生常规实施该检查，但另一些医生认为其没有明确的临床意义，并且不具有成本效益，因此没有必要进行该检查。
探讨减重手术前常规腹部超声检查是否影响手术计划。
我们回顾了 2014 年 6 月至 2016 年 12 月在拉希德医院进行减重手术前接受腹部超声检查的患者的病历。患者分为 4 组：0 组包括腹部超声正常的患者，1 组包括不影响手术时间或类型的异常，2 组包括不影响手术计划但需要术后随访的发现，3 组包括对手术有直接影响的异常。
共回顾了 1120 份病历。183 份病历结果缺失，因此被排除在外；其余 937 份病历被纳入分析。患者的平均年龄为 37±12 岁，589 例（63%）为女性，348 例（37%）为男性。平均 BMI 为 45.1±9.8kg/m。354 例（37.7%）患者的超声检查正常，583 例（62.3%）患者的超声检查异常。
常规腹部超声检查似乎在减重手术前患者的术前准备中没有重要作用。进一步的研究可能有助于讨论这一作用，并建立明确的、可靠的证据和指南，这些证据和指南可能得到国际减重协会的认可，规定减重手术前腹部超声检查的适应证。
