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腹腔镜袖状胃切除术的长期结果:回顾报告 10 年以上结果的研究。

Long-Term Results of Laparoscopic Sleeve Gastrectomy: a Review of Studies Reporting 10+ Years Outcomes.

机构信息

Advanced Biomedical Sciences Department, Naples "Federico II" University, AOU "Federico II" - via S. Pansini 5, 80131, Napoli, Italy.

Division of General Surgery, Tel Aviv Sourasky Medical Center, 6 Weizman Street, 64230906, Tel Aviv-Yafo, Israel.

出版信息

Obes Surg. 2023 Nov;33(11):3565-3570. doi: 10.1007/s11695-023-06824-8. Epub 2023 Sep 25.

Abstract

Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure worldwide. Systematic search of Pubmed, Cochrane, and Embase was performed in order to find all the articles reporting 10+ years of LSG results. Eleven studies including 1020 patients met the inclusion criteria. Overall weighted mean %TWL was 24.4% (17-36.9%), and remission rates from TD2M to HTN were 45.6% (0-94.7%) and 41.4% (0-78.4%), respectively. De novo GERD had an overall prevalence of 32.3% (21.4-58.4%), and five cases (0.5%) of Barrett's disease were reported. Revisional surgery was required for 19.2% (1-49.5%) of patients, Roux-en-Y gastric bypass being the most common secondary procedure.

摘要

腹腔镜袖状胃切除术(LSG)是目前全球应用最广泛的减重手术方式。为了找到所有报告 LSG 10 年以上结果的文章,我们对 Pubmed、Cochrane 和 Embase 进行了系统搜索。11 项研究共纳入 1020 例患者,符合纳入标准。总体加权平均 %TWL 为 24.4%(17-36.9%),TD2M 至 HTN 的缓解率分别为 45.6%(0-94.7%)和 41.4%(0-78.4%)。新发胃食管反流病(GERD)的总体患病率为 32.3%(21.4-58.4%),报告了 5 例(0.5%)巴雷特病。19.2%(1-49.5%)的患者需要接受再次手术,胃旁路手术是最常见的二次手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac4e/10603075/a484f4649959/11695_2023_6824_Fig1_HTML.jpg

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