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卡西姆地区袖状胃切除术后胃食管反流症状的患病率

Prevalence of Gastroesophageal Reflux Symptoms Post Sleeve Gastrectomy in Al-Qassim Region.

作者信息

Alnafisah Khaled A, Alamer Faisal A, Alotayk Noura I, Khalid Renad, Alsaleem Haifa N, Bennasser Thekra, Alsaif Maha, Alayed Faisal T, Al Ammari Ammar M

机构信息

Department of Gastroenterology, King Fahad Specialist Hospital, Buraydah, SAU.

College of Medicine, Qassim University, Buraydah, SAU.

出版信息

Cureus. 2023 Aug 24;15(8):e44040. doi: 10.7759/cureus.44040. eCollection 2023 Aug.

DOI:10.7759/cureus.44040
PMID:37746463
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10517694/
Abstract

BACKGROUND AND AIMS

After sleeve gastrectomy, heartburn sensation and regurgitation are frequent postoperative consequences. This study aimed to determine the prevalence and severity of heartburn sensation and regurgitation symptoms among patients who underwent sleeve gastrectomy, as well as the relationship between demographic variables and the presence and severity of these symptoms.

METHODOLOGY

This cross-sectional study included 290 patients who underwent sleeve gastrectomy in the Al-Qassim region, Saudi Arabia. Patients were asked to complete a questionnaire that assessed the presence and severity of heartburn and regurgitation symptoms. Demographic data, including age, gender, smoking status, and the date of bariatric surgery, were also collected.

RESULTS

The results showed that heartburn and regurgitation were common symptoms among patients who underwent sleeve gastrectomy, with 78% and 73.9% of patients reporting these symptoms, respectively. 11.5% of patients who experienced severe symptoms of regurgitation, and 6.4% of patients with severe heartburn reported serious symptoms that affected their lives by causing an inability to perform daily activities. Age and the date of bariatric surgery were significant factors associated with heartburn and regurgitation symptoms. Patients aged 25-35 years reported the highest prevalence of heartburn symptoms, and the more recent surgery; dated less than one year ago had the highest prevalence of heartburn symptoms.

CONCLUSION

Patients who have sleeve gastrectomy frequently experience heartburn and regurgitation, which can have a substantial influence on their quality of life. Routine evaluation and treatment of heartburn and regurgitation symptoms should be an integral component of postoperative care. Younger patients and those who undergo surgery in the early postoperative period may be at a greater risk for developing heartburn and regurgitation symptoms, necessitating more active measures to treat these symptoms.

摘要

背景与目的

袖状胃切除术后,烧心感和反流是常见的术后后果。本研究旨在确定接受袖状胃切除术患者中烧心感和反流症状的患病率及严重程度,以及人口统计学变量与这些症状的存在及严重程度之间的关系。

方法

这项横断面研究纳入了沙特阿拉伯卡西姆地区290例接受袖状胃切除术的患者。要求患者完成一份评估烧心和反流症状的存在及严重程度的问卷。还收集了人口统计学数据,包括年龄、性别、吸烟状况和减重手术日期。

结果

结果显示,烧心和反流是接受袖状胃切除术患者中的常见症状,分别有78%和73.9%的患者报告有这些症状。11.5%经历严重反流症状的患者和6.4%有严重烧心症状的患者报告称,严重症状因导致无法进行日常活动而影响了他们的生活。年龄和减重手术日期是与烧心和反流症状相关的重要因素。25 - 35岁的患者烧心症状患病率最高,且手术时间越近(不到一年前),烧心症状患病率越高。

结论

接受袖状胃切除术的患者经常出现烧心和反流,这可能对他们的生活质量产生重大影响。烧心和反流症状的常规评估和治疗应成为术后护理的一个组成部分。年轻患者以及术后早期接受手术的患者可能发生烧心和反流症状的风险更大,因此需要采取更积极的措施来治疗这些症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20c1/10517694/39ec4d3fe2e5/cureus-0015-00000044040-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20c1/10517694/08bf9768113c/cureus-0015-00000044040-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20c1/10517694/39ec4d3fe2e5/cureus-0015-00000044040-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20c1/10517694/08bf9768113c/cureus-0015-00000044040-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20c1/10517694/39ec4d3fe2e5/cureus-0015-00000044040-i02.jpg

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The Effect of Laparoscopic Sleeve Gastrectomy on Symptoms of Gastroesophageal Reflux Disease.
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GERD-A Burning Problem after Sleeve Gastrectomy?胃袖状切除术后胃食管反流病——一个棘手的问题?
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