Di Jianzhong, Wang Chen, Zhang Pin, Han Xiaodong, Liu Weijie, Zhang Hongwei
Department of General Surgery, the Sixth People's Hospital Affiliated to Shanghai Jiao Tong University, Shanghai 200233, China.
Department of General Surgery, Shigatse People's Hospital, Shigatse 857000, China.
Ann Transl Med. 2018 Dec;6(24):479. doi: 10.21037/atm.2018.12.28.
The aim of this study was to evaluate the medium-term metabolic results of laparoscopic sleeve gastrectomy (LSG) in Chinese patients.
We performed a retrospective study of our LSG results between February 2011 and February 2015, and conducted a literature review of stenosis after LSG during a recent 10-year period.
Of 142 patients in our study, the mean initial body mass index (BMI) was 38.34 kg/m, the mean age of the patients (44 males and 98 females) was 29.36 years. All patients were followed up for at least 36 months. There was a significant reduction in BMI and blood lipid levels. For one case with gastric stenosis (0.7%), resolution was achieved by conversion to gastric bypass, with a satisfied result in weight loss and diabetes remission. The incidence of stenosis after LSG in previous studies was 0.1-3.5%. Among the cases of stenosis, 83.0% resolved with dilation, and the remainder resolved with a surgical procedure.
LSG is a relatively safe surgical option for weight loss as a primary procedure in our study. Stenosis after LSG requires diagnosis and treatment promptly. Surgery can be a feasible treatment option, but care must be taken to avoid complications.
本研究旨在评估腹腔镜袖状胃切除术（LSG）在中国患者中的中期代谢结果。
我们对2011年2月至2015年2月期间接受LSG手术的患者结果进行了回顾性研究，并对近10年期间LSG术后狭窄的相关文献进行了综述。
在我们研究的142例患者中，初始平均体重指数（BMI）为38.34kg/m，患者平均年龄（44例男性和98例女性）为29.36岁。所有患者均接受了至少36个月的随访。BMI和血脂水平均有显著降低。有1例胃狭窄患者（0.7%），通过转为胃旁路手术得以解决，体重减轻和糖尿病缓解效果良好。以往研究中LSG术后狭窄的发生率为0.1%-3.5%。在狭窄病例中，83.0%通过扩张得以解决，其余病例通过手术解决。
在我们的研究中，LSG作为一种主要的减肥手术选择相对安全。LSG术后狭窄需要及时诊断和治疗。手术可能是一种可行的治疗选择，但必须注意避免并发症。
