腹腔镜袖状胃切除术后1年胃食管反流病症状及生活质量的前瞻性研究
A prospective study of gastro-oesophageal reflux disease symptoms and quality of life 1-year post-laparoscopic sleeve gastrectomy.
作者信息
Robertson Andrew G N, Cameron Andrew J, Joyce Brian, Le Page Phil, Tulloh Bruce, de Beaux Andrew C, Lamb Peter J
机构信息
Department of Upper GI Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
出版信息
J Minim Access Surg. 2019 Jul-Sep;15(3):229-233. doi: 10.4103/jmas.JMAS_43_18.
INTRODUCTION
There are concerns that laparoscopic sleeve gastrectomy (LSG) can cause severe gastro-oesophageal reflux disease (GORD). The aim of this study was to assess GORD symptoms and quality of life following LSG.
METHODS
A prospective study of patients undergoing LSG (2014-2016) was performed with follow-up by DeMeester Reflux/Regurgitation Score, Bariatric Quality of Life Index (BQLI) and Bariatric Analysis and Reporting Outcome System (BAROS) Score pre-operatively, 6 months and 1-year post-operatively.
RESULTS
Twenty-two patients were studied. Mean modified DeMeester Reflux/Regurgitation Score improved from 2.25 (±0.67) pre-operatively to 0.81 (±0.25) at 12 months (P = 0.04). At 12 months, two patients had symptomatic reflux, but overall satisfaction score was unaffected. Mean BQLI Score underwent a non-significant improvement at 12 months. BAROS Score showed all patients to have excellent (n = 19) or very good (n = 3) results (12 months).
CONCLUSION
GORD symptoms improve for most patients' 1-year post-operatively. A small proportion of patients will develop troublesome GORD, but overall satisfaction remains high.
引言
有人担心腹腔镜袖状胃切除术（LSG）会导致严重的胃食管反流病（GORD）。本研究的目的是评估LSG术后的GORD症状和生活质量。
方法
对2014年至2016年接受LSG的患者进行前瞻性研究，术前、术后6个月和1年采用DeMeester反流/反流评分、肥胖症生活质量指数（BQLI）和肥胖症分析与报告结果系统（BAROS）评分进行随访。
结果
研究了22例患者。改良DeMeester反流/反流评分的平均值从术前的2.25（±0.67）改善到12个月时的0.81（±0.25）（P = 0.04）。12个月时，2例患者有症状性反流，但总体满意度评分未受影响。12个月时，BQLI评分平均值有非显著性改善。BAROS评分显示所有患者在12个月时结果为优秀（n = 19）或非常好（n = 3）。
结论
大多数患者术后1年GORD症状改善。一小部分患者会出现麻烦的GORD，但总体满意度仍然很高。
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