胃旁路术后胃食管反流病的手术治疗：系统评价。
Surgical Management of Gastro-oesophageal Reflux Disease After One Anastomosis Gastric Bypass - a Systematic Review.
机构信息
East Midlands Bariatric and Metabolic Institute, University Hospital of Derby and Burton NHS Foundation Trust, Derby, UK.
Obesity and Metabolic Surgery Unit, Ospedale Evangelico Betania, Naples, Italy.
出版信息
Obes Surg. 2022 Dec;32(12):4057-4065. doi: 10.1007/s11695-022-06301-8. Epub 2022 Oct 18.
Gastro-oesophageal reflux disease (GORD) after one anastomosis gastric bypass (OAGB) remains a concern. We reviewed the current literature on revisional surgery after OAGB for GORD. MEDLINE, EMBASE, and PubMed databases were searched. We identified 21 studies, appraising 13,658 OAGB patients. A total of 230 (1.6%) patients underwent revisional surgery for GORD. Revision to Roux-en-Y configuration was performed in 211 (91.7%) patients. Six (2.6%) patients had a Braun entero-enterostomy added to the OAGB. Thirteen (5.6%) patients underwent excluded stomach fundoplication (ESF). Reflux symptoms resolved in 112 (48.6%) patients, persisted in 13 (5.6%) patients, and were not reported in 105 (45.6%) patients. Revisional surgery after OAGB for GORD appears to be rare, and when required, conversion to Roux-en-Y configuration is the commonest choice.
胃食管反流病（GORD）在一次吻合胃旁路手术后（OAGB）仍然是一个问题。我们回顾了 OAGB 后治疗 GORD 的翻修手术的现有文献。检索了 MEDLINE、EMBASE 和 PubMed 数据库。我们确定了 21 项研究，评估了 13658 例 OAGB 患者。共有 230 例（1.6%）患者因 GORD 接受了翻修手术。211 例（91.7%）患者行 Roux-en-Y 重建术。6 例（2.6%）患者在 OAGB 上加行了 Braun 肠肠吻合术。13 例（5.6%）患者行胃底折叠术（ESF）。112 例（48.6%）患者的反流症状缓解，13 例（5.6%）患者的反流症状持续存在，105 例（45.6%）患者未报告反流症状。OAGB 后治疗 GORD 的翻修手术似乎很少见，当需要时，最常见的选择是转换为 Roux-en-Y 构型。
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