Arslan Ergin, Banli Oktay, Sipahi Mesut, Yagci Gokhan
Department of Surgery, Faculty of Medicine, Bozok University, Yozgat.
Ankara Obesity Surgery Clinic.
Surg Laparosc Endosc Percutan Tech. 2018 Jun;28(3):174-177. doi: 10.1097/SLE.0000000000000526.
The aim of this study was to demonstrate that gastric volvulus can be prevented by omentopexy and sleeve gastrectomy without increasing other complication rates.
A total of 1385 patients who underwent omentopexy and sleeve gastrectomy between April 2013 and September 2017 were included this study. Body mass index, age, sex, comorbidities, and postoperative complications of the patients were recorded as data.
A total of 1385 patients underwent sleeve gastrectomy and omentopexy. There were 999 female and 386 male patients. The mean age of the patients was 36 years (14 to 71 y). The mean body mass index was 42.74 kg/m (35 to 73 kg/m). Twenty-one patients had previously undergone gastric banding and the other 80 patients had previous abdominal operation. The number of patients undergoing simultaneous cholecystectomy was 98. Three patients had hemorrhage due to hypertension and anticoagulant treatment in the postoperative period and the patients were treated medically. One staple-line leakage was observed. Twist, and stricture were not observed and no mortalities were noted.
Sleeve gastrectomy and omentopexy can prevent the gastric twist, which is a functional cause of gastric stenosis, by stabilizing the posterior stomach wall.
本研究旨在证明网膜固定术和袖状胃切除术可预防胃扭转，且不会增加其他并发症发生率。
本研究纳入了2013年4月至2017年9月期间接受网膜固定术和袖状胃切除术的1385例患者。记录患者的体重指数、年龄、性别、合并症及术后并发症作为数据。
共有1385例患者接受了袖状胃切除术和网膜固定术。其中女性999例，男性386例。患者的平均年龄为36岁（14至71岁）。平均体重指数为42.74kg/m²（35至73kg/m²）。21例患者曾接受过胃束带术，另外80例患者曾接受过腹部手术。同期行胆囊切除术的患者有98例。3例患者术后因高血压和抗凝治疗出现出血，经药物治疗。观察到1例吻合口漏。未观察到扭转和狭窄，也未记录到死亡病例。
袖状胃切除术和网膜固定术可通过稳定胃后壁来预防胃扭转，胃扭转是胃狭窄的一个功能性原因。
