Čierny M, Trávniček A, Ucháľ J
Rozhl Chir. 2019 Winter;98(2):58-63.
Historically, gastric bypass (GB) has been the oldest procedure used in bariatric surgery. Even though technically demanding, it had been the most widely used method for decades worldwide and still holds an irreplaceable position for its pronounced and long-term metabolic effect as well as for the therapeutic effect in gastroesophageal reflux (GERD).
The authors retrospectively analyse a series of 268 cases of GB, focusing on short-term weight loss, the metabolic effect on type two diabetes (T2DM), complication and reoperation rates and the BAROS scoring system in Roux-en-Y bypass (RYGB) and in minigastric bypass with one anastomosis (MGB/OAGB), comparing both of them to more frequently used gastric plication and sleeve gastrectomy.
Both GB, without any increase in complication and reoperation rates, lead to a higher weight loss and the best BAROS scoring in comparison to other, simpler restrictive procedures. One year after GB, resolution of T2DM is seen in most diabetes patients operated on, the number needed to treat being.
从历史上看，胃旁路手术（GB）一直是减肥手术中使用最久的术式。尽管该手术对技术要求较高，但在过去几十年里它一直是全球应用最广泛的方法，并且由于其显著的长期代谢效应以及对胃食管反流病（GERD）的治疗效果，至今仍占据着不可替代的地位。
作者回顾性分析了268例胃旁路手术病例，重点关注短期体重减轻情况、对2型糖尿病（T2DM）的代谢影响、并发症和再次手术率，以及Roux-en-Y胃旁路术（RYGB）和单吻合口迷你胃旁路术（MGB/OAGB）中的BAROS评分系统，并将这两种术式与更常用的胃折叠术和袖状胃切除术进行比较。
与其他更简单的限制性手术相比，胃旁路手术在不增加并发症和再次手术率的情况下，能实现更高的体重减轻，并获得最佳的BAROS评分。胃旁路手术后一年，大多数接受手术的糖尿病患者的T2DM症状得到缓解，治疗所需人数为……
