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应用胃食管反流病问卷(GerdQ)评估标准化胃袖套手术后的胃食管反流。

Evaluation of gastroesophageal reflux after standardized gastric sleeve with the Gastroesophageal Reflux Disease Questionnaire (GerdQ).

机构信息

Departamento de Cirugía General, Universidad El Bosque, Bogotá.

Departamento de Cirugía General, Fundación Santa Fe de Bogotá, Bogotá.

出版信息

Cir Cir. 2021;89(5):686-691. doi: 10.24875/CIRU.20000642.

DOI:10.24875/CIRU.20000642
PMID:34665173
Abstract

OBJECTIVE

To evaluate the appearance of gastroesophageal reflux in our population after sleeve gastrectomy as management for obesity, with the Gastroesophageal Reflux Disease Questionnaire (GerdQ).

METHOD

Retrospective study of patients undergoing sleeve gastrectomy during 2016 and 2017, having ruled out gastroesophageal reflux (GER) with pre-surgical upper digestive endoscopy, and post-operative evaluation with the GerdQ scale.

RESULTS

129 patients were included in the study, average age was 45 years, gender of greater male appearance was 77.5%, the most frequent comorbidities were hypothyroidism 25.6% and hypertension 23.3%. 12.4% had a score greater than or equal to 8, 14 were women and 2 men, there was no statistically significant relationship with the preoperative mass index.

CONCLUSIONS

Standardizing the gastric sleeve technique in the bariatric surgery services, taking into account the technical factors associated with post-operative GERD de novo, decreases its appearance as evaluated by the GerdQ scale.

摘要

目的

用胃食管反流病问卷(GerdQ)评估袖状胃切除术治疗肥胖症后胃食管反流的表现。

方法

回顾性研究 2016 年至 2017 年期间行袖状胃切除术的患者,术前上消化道内镜排除胃食管反流(GER),术后用 GerdQ 量表进行评估。

结果

共纳入 129 例患者,平均年龄 45 岁,男性外观占比 77.5%,最常见的合并症为甲状腺功能减退症 25.6%和高血压 23.3%。12.4%的患者评分≥8,其中 14 例为女性,2 例为男性,与术前体重指数无统计学显著关系。

结论

在减重手术服务中规范胃袖套技术,考虑与术后新发 GERD 相关的技术因素,可以降低 GerdQ 量表评估的 GERD 发生率。

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