Roux-en-Y 胃旁路术治疗体重减轻不足或体重复增。
Revision of Roux-en-Y Gastric Bypass for Inadequate Weight Loss or Weight Regain.
机构信息
First Department of Surgery, Laiko General Hospital, Medical School of Athens, National and Kapodistrian University of Athens, Athens, Greece
First Department of Surgery, Laiko General Hospital, Medical School of Athens, National and Kapodistrian University of Athens, Athens, Greece.
出版信息
In Vivo. 2022 Jan-Feb;36(1):30-39. doi: 10.21873/invivo.12673.
Abstract
Inadequate weight loss or weight regain after Roux-en-Y gastric bypass (RYGBP) occurs in more than a quarter of patients for various reasons. Available remedying treatment options include endoscopic and surgical techniques for revision of the gastric pouch and the gastro-jejunal anastomosis, conversion of standard to distal gastric bypass (DRYGBP) or the conversion of RYGBP to biliopancreatic diversion (BPD) or duodenal switch (DS). There is quite a variability concerning the technical simplicity, safety, and effectiveness of these techniques and the small number of patients in the numerous single-center reports precludes any meaningful comparisons. This review aimed to describe all available methods and present the advantages and disadvantages of each of them, to facilitate, rather than guide, the decision of the average bariatric surgeon who encounters such a patient.
摘要
在各种原因的作用下，超过四分之一的 Roux-en-Y 胃旁路术（RYGBP）术后患者出现减重不足或体重反弹。现有的补救治疗选择包括内镜和手术技术，用于修正胃袋和胃空肠吻合术，将标准胃旁路术（DRYGBP）转换为远端胃旁路术（RYGBP）或 Roux-en-Y 胃旁路术转换为胆胰分流术（BPD）或十二指肠转位术（DS）。这些技术在技术简单性、安全性和有效性方面存在很大差异，而且众多单中心报告中的患者数量较少，这使得任何有意义的比较都无法进行。本综述旨在描述所有可用的方法，并介绍它们各自的优缺点，以方便而不是指导遇到此类患者的普通减重外科医生做出决策。
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