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最新综述:肥胖症介入治疗的发展现状——放射科医师指南

Up-to-date review into the evolving world of bariatric interventions: a guide for radiologists.

机构信息

Department of Medical Imaging, JDMI University Health Network, University of Toronto, 610 University Avenue, Toronto, ON, M5G 2M9, Canada. ciara.o'

Department of Medical Imaging, JDMI University Health Network, University of Toronto, 610 University Avenue, Toronto, ON, M5G 2M9, Canada.

出版信息

Abdom Radiol (NY). 2024 Apr;49(4):1007-1019. doi: 10.1007/s00261-023-04137-z. Epub 2024 Feb 8.

DOI:10.1007/s00261-023-04137-z
PMID:38329482
Abstract

Obesity is a worldwide health concern leading to several chronic health problems and comorbidities. Its treatment requires a multidisciplinary approach where lifestyle changes are fundamental. Additionally, in the past decade, the use of different surgical procedures of various levels of complexity has grown, with the objective of reducing the gastric capacity, creating diversions, or a combination of both. The aim of this article is to review and illustrate the major types of bariatric surgical techniques, their normal post-surgical anatomy, and the possible associated complications, to aid the radiologist in their assessment and timely diagnosis.

摘要

肥胖是一个全球性的健康问题,会导致多种慢性健康问题和合并症。其治疗需要多学科方法,生活方式的改变是基础。此外,在过去十年中,各种复杂程度的不同手术程序的使用有所增加,目的是减少胃容量、形成改道或两者结合。本文旨在回顾和说明主要类型的减重手术技术,其正常的术后解剖结构以及可能相关的并发症,以帮助放射科医生进行评估和及时诊断。

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Up-to-date review into the evolving world of bariatric interventions: a guide for radiologists.最新综述:肥胖症介入治疗的发展现状——放射科医师指南
Abdom Radiol (NY). 2024 Apr;49(4):1007-1019. doi: 10.1007/s00261-023-04137-z. Epub 2024 Feb 8.
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Current and cutting-edge interventions for the treatment of obese patients.肥胖患者治疗的当前及前沿干预措施。
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本文引用的文献

1
Roux-en-Y gastric bypass versus sleeve gastrectomy: nationwide data from the Danish quality registry for treatment of severe obesity.胃旁路术(Roux-en-Y)与袖状胃切除术:来自丹麦严重肥胖症治疗质量登记处的全国性数据。
Surg Obes Relat Dis. 2022 Apr;18(4):511-519. doi: 10.1016/j.soard.2021.12.015. Epub 2021 Dec 21.
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Endovascular Bariatric Surgery as Novel Minimally Invasive Technique for Weight Management in the Morbidly Obese: Review of the Literature.血管内减肥手术作为一种新型微创技术在病态肥胖症患者体重管理中的应用:文献综述。
Nutrients. 2021 Jul 25;13(8):2541. doi: 10.3390/nu13082541.
3
US national trends in bariatric surgery: A decade of study.
美国肥胖症手术的国家趋势:十年研究。
Surgery. 2021 Jul;170(1):13-17. doi: 10.1016/j.surg.2021.02.002. Epub 2021 Mar 11.
4
Long-term outcomes of primary single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S).胃袖状切除术联合单吻合口十二指肠空肠旁路术(SADI-S)的长期疗效。
Surg Obes Relat Dis. 2020 Nov;16(11):1638-1646. doi: 10.1016/j.soard.2020.07.019. Epub 2020 Jul 31.
5
Changes in Utilization of Bariatric Surgery in the United States From 1993 to 2016.美国 1993 年至 2016 年减重手术利用情况的变化。
Ann Surg. 2020 Feb;271(2):201-209. doi: 10.1097/SLA.0000000000003554.
6
Imaging after Bariatric Surgery: When Interpretation Is a Challenge, from Normal to Abnormal.减重手术后的影像学检查:从正常到异常,解读颇具挑战
Obes Surg. 2018 Sep;28(9):2923-2931. doi: 10.1007/s11695-018-3334-5.
7
Imaging following bariatric surgery: roux-en-Y gastric bypass, laparoscopic adjustable gastric banding and sleeve gastrectomy.减肥手术后的影像学检查:Roux-en-Y胃旁路术、腹腔镜可调节胃束带术和袖状胃切除术。
Br J Radiol. 2018 Sep;91(1089):20180031. doi: 10.1259/bjr.20180031. Epub 2018 Jul 24.
8
Imaging of bariatric surgery: normal anatomy and postoperative complications.减重手术的影像学表现:正常解剖结构与术后并发症。
Radiology. 2014 Feb;270(2):327-41. doi: 10.1148/radiol.13122520.
9
Laparoscopic adjustable gastric banding: what radiologists need to know.腹腔镜可调节胃束带术:放射科医生需要了解的知识。
Radiographics. 2012 Jul-Aug;32(4):1161-78. doi: 10.1148/rg.324115177.
10
Imaging following bariatric procedures: Roux-en-Y gastric bypass, gastric sleeve, and biliopancreatic diversion.减肥手术后的影像学检查:Roux-en-Y胃旁路术、胃袖状切除术和胆胰转流术。
Abdom Imaging. 2012 Oct;37(5):697-711. doi: 10.1007/s00261-012-9860-z.