University of Health Sciences, General Surgery, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey.
Am Surg. 2022 Jun;88(6):1217-1223. doi: 10.1177/0003134821991989. Epub 2021 Feb 10.
This study compared the effects of posterior fixation (PF) of the remnant tube with fibrin tissue glue to prevent sharp angulation and gastric twist and traditional techniques on postoperative dysphagia and vomiting.
In total, 200 patients scheduled to undergo laparoscopic sleeve gastrectomy (LSG) as a bariatric surgical intervention were randomly classified into 2 groups (LSG + PF and LSG alone). We compared postoperative dysphagia symptoms among patients who underwent PF and those who did not. The Dysphagia Handicap Index (DHI) results were compared statistically among these groups.
The study included a total of 191 patients (85.9% (n = 164) women and 14.1% (n = 27) men) who underwent LSG for obesity. The groups were similar in terms of the patient demographics. The DHI scores of the LSG + PF group were statistically significantly lower than those of the LSG alone group.
Adoption of a standardized method of PF with a standardized surgical procedure after LSG considerably reduced the rate of surgical complications.
本研究比较了残端管的后固定（PF）与纤维蛋白组织胶对防止锐角度和胃扭转的影响，以及传统技术对术后吞咽困难和呕吐的影响。
共 200 例计划接受腹腔镜袖状胃切除术（LSG）作为减肥手术干预的患者被随机分为 2 组（LSG+PF 和 LSG 单独组）。我们比较了 PF 组和非 PF 组患者术后吞咽困难症状。对这些组之间的吞咽困难残疾指数（DHI）结果进行了统计学比较。
该研究共纳入 191 例（85.9%（n=164）女性和 14.1%（n=27）男性）因肥胖症接受 LSG 的患者。两组患者的人口统计学特征相似。LSG+PF 组的 DHI 评分明显低于 LSG 单独组。
在 LSG 后采用标准化的 PF 方法和标准化的手术程序，显著降低了手术并发症的发生率。
