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袖状胃切除术后的体重减轻及合并症的缓解:长期结果综述

Weight Loss and Resolution of Comorbidities After Sleeve Gastrectomy: A Review of Long-Term Results.

作者信息

Felsenreich D M, Langer F B, Prager G

机构信息

Division of General Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.

出版信息

Scand J Surg. 2019 Mar;108(1):3-9. doi: 10.1177/1457496918798192. Epub 2018 Sep 6.

Abstract

BACKGROUND AND AIMS

: Laparoscopic sleeve gastrectomy (SG) has massively increased in numbers over the last decade and is the most frequently performed bariatric procedure worldwide today. The aim of this review is to evaluate SG in terms of weight loss and resolution of comorbidities, based on data gained from the latest long-term studies available.

MATERIAL AND METHODS

: This review includes the results of any long-term studies on SG available at this point as well as a selection of short- and mid-term studies.

RESULTS

: There are only a handful of studies on sleeve gastrectomy with long-term follow-up available at this point. Conversion rates in these long-term studies amount to up to one-third of their cohorts; however, excess weight loss in patients maintaining their sleeve is over 50%. Results on the resolution of comorbidities vary among the studies available today.

SUMMARY

: Sleeve gastrectomy is a valid bariatric method but one has to be aware of its limitations.

摘要

背景与目的

在过去十年中,腹腔镜袖状胃切除术(SG)的实施数量大幅增加,是目前全球最常开展的减肥手术。本综述的目的是基于从现有最新长期研究中获得的数据,评估SG在减重和合并症解决方面的情况。

材料与方法

本综述纳入了目前所有关于SG的长期研究结果以及一些短期和中期研究。

结果

目前仅有少数关于袖状胃切除术的长期随访研究。这些长期研究中的转化率高达队列的三分之一;然而,保留袖状胃的患者的超重减轻超过50%。目前各研究中关于合并症解决的结果各不相同。

总结

袖状胃切除术是一种有效的减肥方法,但必须意识到其局限性。

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