[从迷你胃旁路手术到单吻合口胃旁路手术，单吻合口胃旁路手术的20年]

[From mini gastric bypass to one anastomosis gastric bypass, 20 years of one anastomosis gastric bypass].

作者信息

Liu Y, Li M Y, Zhang M, Zhang P, Zhang Z T

机构信息

Department of General Surgery, Beijing Friendship Hospital, Capital Medical University & National Clinical Research Center for Digestive Diseases, Beijing 100050, China.

出版信息

Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Oct 25;25(10):869-874. doi: 10.3760/cma.j.cn441530-20220630-00287.

DOI:10.3760/cma.j.cn441530-20220630-00287

PMID:36245110

Abstract

In 2001, Rutledge reported the first case of mini gastric bypass (MGB). Carbajo improved the technique of MGB and named it one anastomosis gastric bypass (OAGB). Over the past 20 years, a large number of clinical and basic studies on OAGB/MGB have been reported, and the answers to some key questions about OAGB/MGB have gradually become clear. From a technical point of view, MGB and OAGB can be regarded as two subvariants of one surgery. The advantages of OAGB/MGB include: (1) simplicity, safety and lower probability of internal hernia;(2) stable and durable weight reduction effect; (3) stable and durable remission rate of type 2 Diabetes. The disadvantages of OAGB/MGB include: (1) bile reflux; (2) higher risk of malnutrition. OAGB/MGB has achieved a good balance between effectiveness and safety, and has become the most noticed and fastest-growing bariatric and metabolic procedure in recent years. OAGB/MGB has been recommended as a standard bariatric and metabolic procedure by IFSO and ASMBS.

摘要

2001年，拉特利奇报道了首例迷你胃旁路手术（MGB）。卡瓦霍改进了MGB技术，并将其命名为单吻合口胃旁路手术（OAGB）。在过去20年里，已有大量关于OAGB/MGB的临床和基础研究报道，关于OAGB/MGB一些关键问题的答案也逐渐明晰。从技术角度看，MGB和OAGB可视为同一手术的两个子变体。OAGB/MGB的优点包括：（1）操作简单、安全且内疝发生率较低；（2）减重效果稳定持久；（3）2型糖尿病缓解率稳定持久。OAGB/MGB的缺点包括：（1）胆汁反流；（2）营养不良风险较高。OAGB/MGB在有效性和安全性之间实现了良好平衡，已成为近年来最受关注且发展最快的减肥和代谢手术。OAGB/MGB已被国际肥胖与代谢病外科联盟（IFSO）和美国代谢与减重外科学会（ASMBS）推荐为标准的减肥和代谢手术。