Department of Plastic and Hand Surgery, University of Freiburg Medical Centre, Freiburg, Germany.
Department of Obesity and Metabolic Surgery, German Centre of Excellence, Sana-Klinikum Offenbach, Starkenburgring 66, 63069, Offenbach, Germany.
Obes Surg. 2020 Nov;30(11):4592-4598. doi: 10.1007/s11695-020-04918-1. Epub 2020 Aug 17.
The search for an operation that effectively prevents and treats intrathoracic gastric migration (ITGM) after bariatric surgery has revived a long-forgotten technique: ligamentum teres cardiopexy (LTC) by which a vascularized flap of the teres ligament is wrapped around the distal esophagus. The systematic search of publications in the English language revealed 4 studies (total number of patients 53) in the non-bariatric literature with an unsatisfactory resolution of GERD. There were 5 reports from the bariatric literature with small patient numbers (total 64) and a short follow-up (6-36 months). There were no objective signs of gastric remigration in 93% of investigated patients. Acknowledging the limitations of these preliminary reports, bariatric surgeons are encouraged to further investigate the potentials of LTC in their patients.
寻找一种能够有效预防和治疗减重手术后胸腔内胃迁移（ITGM）的手术方法，重新唤起了一种被遗忘已久的技术：通过teres 韧带的血管化皮瓣包裹远端食管来进行teres 韧带心固定术（LTC）。对英文文献的系统检索发现，非减重手术文献中有 4 项研究（总患者数为 53 例），胃食管反流病（GERD）的治疗效果并不理想。减重手术文献中有 5 篇报道，患者数量较少（总数为 64 例），随访时间较短（6-36 个月）。在接受调查的患者中，有 93%没有胃再迁移的客观迹象。尽管这些初步报告存在一定的局限性，但减重外科医生被鼓励进一步研究 LTC 在其患者中的应用潜力。
