减肥手术后的胃癌
Gastric Cancer After Bariatric Surgeries.
作者信息
Youk Kang Min, Kim Jeesun, Cho Yo-Seok, Park Do Joong
机构信息
Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.
出版信息
J Metab Bariatr Surg. 2022 Dec;11(2):20-29. doi: 10.17476/jmbs.2022.11.2.20. Epub 2023 Jan 24.
Abstract
Bariatric surgery has been covered by medical insurance in Korea, since January 2019; and its number is steadily increasing. Representative bariatric surgeries include adjustable gastric banding, sleeve gastrectomy, and Roux-en-Y gastric bypass. Each surgical method can be applied according to the patient's condition; however, there are other issues to consider in Korea. Because of the high incidence of gastric cancer in Korea, gastroscopy is recommended every two years after the age of 40. Therefore, it is difficult to perform conventional gastroscopy after Roux-en-Y gastric bypass. In this review, the incidence of gastric cancer after representative bariatric surgery was investigated through a literature review, so that it could be used as a reference for the selection of bariatric surgery in Korea.
摘要
自2019年1月起，韩国医疗保险已涵盖减重手术，且其数量在稳步增加。典型的减重手术包括可调节胃束带术、袖状胃切除术和Roux-en-Y胃旁路术。每种手术方法可根据患者情况应用；然而，在韩国还有其他问题需要考虑。由于韩国胃癌发病率高，建议40岁以后每两年进行一次胃镜检查。因此，Roux-en-Y胃旁路术后难以进行传统胃镜检查。在本综述中，通过文献回顾调查了典型减重手术后胃癌的发病率，以便将其作为韩国减重手术选择的参考。
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