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袖状胃切除术后的巴雷特食管和食管癌。是神话还是现实?

Barrett's esophagus and esophageal cancer after sleeve gastrectomy. Myth or reality?

作者信息

Luna Aufroy Alexis, Rebasa Cladera Pere, Montmany Vioque Sandra

机构信息

Servicio de Cirugía General, Hospital Universitario Parc Taulí, Sabadell, Barcelona, Spain.

Servicio de Cirugía General, Hospital Universitario Parc Taulí, Sabadell, Barcelona, Spain.

出版信息

Cir Esp (Engl Ed). 2023 Oct;101 Suppl 4:S39-S42. doi: 10.1016/j.cireng.2023.02.015. Epub 2023 Nov 17.

Abstract

Sleeve gastrectomy has become the most performed bariatric surgery technique in the world. This bariatric technique has been related to the appearance of gastroesophageal reflux and recently with de novo Barrett's esophagus. It is not clear that this leads to an increased incidence of esophageal adenocarcinoma. In this review we analyze the current scientific literature to try to answer the true incidence of Barrett's esophagus and adenocarcinoma after sleeve gastrectomy, and whether these data should make us change the indications for this technique.

摘要

袖状胃切除术已成为全球实施最多的减肥手术技术。这种减肥技术与胃食管反流的出现有关,最近还与新发的巴雷特食管有关。目前尚不清楚这是否会导致食管腺癌发病率增加。在本综述中,我们分析了当前的科学文献,试图回答袖状胃切除术后巴雷特食管和腺癌的真实发病率,以及这些数据是否应促使我们改变该技术的适应症。

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