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沙特社区患者样本中胃袖状切除术后的慢性症状

Post-gastric Sleeve Surgery Chronic Symptoms From a Sample of Patients in Saudi Community.

作者信息

Alhuzaim Waleed M, Alajlan Raghad M, Alshehri Rahaf A, Alanazi Razan M, Alsarhan Leen K, Alamri Hala K

机构信息

Gastroenterology, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.

Medicine, Imam Mohammad Ibn Saud Islamic University, Riyadh, SAU.

出版信息

Cureus. 2023 Jul 17;15(7):e42000. doi: 10.7759/cureus.42000. eCollection 2023 Jul.

Abstract

BACKGROUND

A common bariatric procedure known as gastric sleeve surgery can cause significant weight loss and co-morbid condition alleviation. However, patients could experience persistent problems such as gastrointestinal, musculoskeletal/neural, and psychiatric disorders after surgery. This study aims to identify the most prevalent chronic symptoms following sleeve gastrectomy among a sample of Saudi patients and the impact these symptoms have on patients' lives.

METHODOLOGY

Patients who underwent gastric sleeve surgery at the Ensan Clinic, a facility specializing in gastroenterology, were the subjects of this retrospective cohort analysis. The study population consisted of patients who underwent gastric sleeve surgery, showed up for follow-up after the procedure, and met the inclusion and exclusion criteria. The data collection sheet is divided into seven sections. Sociodemographic information was required in the first section, gastric sleeve surgery information in the second, vital signs in the third, lab results in the fourth, past medical history in the fifth, current treatments in the sixth, and postoperative complications and chronic symptoms in the seventh and final sections.

RESULTS

In 117 patients, the study evaluated the effects of gastric sleeve surgery. Participants had an average age of 40.21 years, and 61.5% were female. Regarding persistent symptoms after surgery, a sizable percentage of patients mentioned digestive issues such as GERD (44.4%), dyspepsia (60.7%), vomiting (23.1%), nausea (39.3%), and abdominal distention (45.3%). A total of 34.2% of patients reported experiencing anxiety, compared to 11.1% who said they had depression or 2.6% who said they had social issues. A few patients reported experiencing neurological or musculoskeletal issues, including exhaustion (7.7%), faintness (5.1%), back or joint discomfort (7.7%), and shortness of breath (8.5%).

CONCLUSION

After undergoing gastric sleeve surgery, a sizable proportion of patients complained of various chronic symptoms and nutritional inadequacies, primarily gastrointestinal problems and musculoskeletal/neurological issues. The study's findings show a connection between these symptoms and surgery.

摘要

背景

一种常见的减肥手术——胃袖状切除术,可导致显著的体重减轻并缓解合并症。然而,患者术后可能会出现持续的问题,如胃肠道、肌肉骨骼/神经和精神疾病。本研究旨在确定沙特患者样本中胃袖状切除术后最普遍的慢性症状,以及这些症状对患者生活的影响。

方法

本回顾性队列分析的对象是在恩桑诊所(一家专门从事胃肠病学的机构)接受胃袖状切除术的患者。研究人群包括接受胃袖状切除术、术后前来随访且符合纳入和排除标准的患者。数据收集表分为七个部分。第一部分需要社会人口统计学信息,第二部分是胃袖状切除术信息,第三部分是生命体征,第四部分是实验室检查结果,第五部分是既往病史,第六部分是当前治疗情况,第七部分也是最后一部分是术后并发症和慢性症状。

结果

该研究评估了117例患者胃袖状切除术的效果。参与者的平均年龄为40.21岁,61.5%为女性。关于术后持续症状,相当一部分患者提到了消化问题,如胃食管反流病(44.4%)、消化不良(60.7%)、呕吐(23.1%)、恶心(39.3%)和腹胀(45.3%)。共有34.2%的患者报告有焦虑情绪,相比之下,11.1%的患者表示有抑郁情绪,2.6%的患者表示有社交问题。少数患者报告有神经或肌肉骨骼问题,包括疲惫(7.7%)、头晕(5.1%)、背部或关节不适(7.7%)和呼吸急促(8.5%)。

结论

接受胃袖状切除术后,相当一部分患者抱怨有各种慢性症状和营养不足,主要是胃肠道问题和肌肉骨骼/神经问题。该研究结果表明这些症状与手术之间存在关联。

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Psychiatric intervention pre- and post-bariatric surgery.减肥手术前后的精神科干预。
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