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袖状胃切除术后并发症的诊断与处理

Diagnosis and Management of Postoperative Complications After Sleeve Gastrectomy.

作者信息

Park Ji Yeon

机构信息

Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea.

Department of Surgery, Kyungpook National University Chilgok Hospital, Daegu, Korea.

出版信息

J Metab Bariatr Surg. 2022 Jun;11(1):1-12. doi: 10.17476/jmbs.2022.11.1.1. Epub 2022 Aug 30.

Abstract

Sleeve gastrectomy (SG) has demonstrated excellent outcomes in terms of weight loss and resolution of obesity-related comorbidities as a single procedure. It has gained rapidly increasing popularity among bariatric surgeons and patients over the last two decades. This is due to its relative ease of use and less frequent morbidities related to the procedure. Even though the overall complication rate after SG is reported to be lower than conventional Roux-en-Y gastric bypass or biliopancreatic diversion, it still affects 1-10% of the patients undergoing SG, which is not negligible. Early postoperative complications that can occur within 30 days after SG include hemorrhage, leakage, sleeve stenosis, and reflux. Thromboembolic events are rare but can occur after surgery. Here, we review the incidence, diagnosis, and management of these early postoperative complications.

摘要

袖状胃切除术(SG)作为一种单一手术,在减重和解决肥胖相关合并症方面已显示出优异的效果。在过去二十年中,它在减重外科医生和患者中迅速普及。这归因于其相对易于操作且与该手术相关的发病率较低。尽管据报道SG术后的总体并发症发生率低于传统的 Roux-en-Y 胃旁路术或胆胰转流术,但仍有1%-10%接受SG手术的患者会受到影响,这并非微不足道。SG术后30天内可能发生的早期并发症包括出血、渗漏、袖状胃狭窄和反流。血栓栓塞事件很少见,但手术后可能发生。在此,我们回顾这些术后早期并发症的发生率、诊断和处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59a6/9848960/755d10f6b25e/jmbs-11-1-g001.jpg

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