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接受减重手术翻修的患者的生活质量:从袖状胃切除术到 Roux-en-Y 胃旁路术。

Quality of Life in Patients Undergoing Revisional Bariatric Surgery: From Sleeve Gastrectomy to Roux-en-Y Gastric Bypass.

机构信息

Morsani College of Medicine, University of South Florida, Horatio Street, Tampa, FL, 33609, USA.

Division of Gastrointestinal Surgery, Tampa General Hospital, Horatio Street, Tampa, FL, 33609, USA.

出版信息

Obes Surg. 2024 Mar;34(3):997-1003. doi: 10.1007/s11695-024-07082-y. Epub 2024 Feb 3.

Abstract

Sleeve gastrectomy (SG) is the most performed bariatric surgery worldwide. However, this surgery may be associated with long-term weight regain and severe gastroesophageal reflux disease (GERD), sometimes necessitating conversion to Roux-en-Y gastric bypass (RYGB) to improve quality of life (QoL). We conducted a systematic review on QoL measures following the conversion of SG to RYGB. We searched various databases for studies conducted between January 2005 and September 2023. Four studies, involving 196 participants in total, met the inclusion criteria. Different assessment methods were used to evaluate QoL following the conversion. In the included studies, we observed that GERD symptoms and proton pump inhibitor (PPI) use both decreased following conversion to RYGB. Excess weight loss (EWL) was also observed in all studies.

摘要

袖状胃切除术(SG)是目前全球应用最广泛的减重手术。然而,该手术可能与长期体重反弹和严重胃食管反流病(GERD)相关,有时需要转换为 Roux-en-Y 胃旁路术(RYGB)以提高生活质量(QoL)。我们对 SG 转换为 RYGB 后的 QoL 测量进行了系统回顾。我们在 2005 年 1 月至 2023 年 9 月期间检索了各种数据库中的研究。四项研究,总共涉及 196 名参与者,符合纳入标准。不同的评估方法用于评估转换后的 QoL。在纳入的研究中,我们观察到转换为 RYGB 后 GERD 症状和质子泵抑制剂(PPI)的使用均减少。所有研究均观察到超重减轻(EWL)。

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