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分析四种不同手术方法治疗中国超肥胖(BMI≥50kg/m)患者的 1 年疗效。

Analysis of the 1-year efficacy of four different surgical methods for treating Chinese super obese (BMI ≥ 50 kg/m) patients.

机构信息

Department of Bariatric and Metabolic Surgery, China-Japan Union Hospital, Jilin University, No. 126 Xiantai Avenue, Changchun, 130033, Jilin, China.

出版信息

Sci Rep. 2024 May 7;14(1):10451. doi: 10.1038/s41598-024-60983-x.

DOI:10.1038/s41598-024-60983-x
PMID:38714716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11076457/
Abstract

This study aimed to retrospectively analyze the perioperative and postoperative follow-up data of patients with super obesity who had undergone RYGB, SG, BPD/DS, and SADI-S. A retrospective observational study was conducted to analyze the perioperative and postoperative follow-up data of 60 patients with super obesity who had undergone bariatric surgery. A total of 34 men and 26 women were included in this study. The participants had an average preoperative BMI of 53.81 ± 3.25 kg/m. The body weight and BMI of all four patient groups decreased significantly at 3, 6, and 12 months postoperatively compared with the preoperative values. Additionally, the TWL (%) and EWL (%) of all four groups increased gradually over the same period. Compared with the preoperative values, the systolic and diastolic blood pressure, glycosylated hemoglobin, uric acid, triglycerides, and total cholesterol decreased to varying degrees in the four groups 1 year postoperatively. RYGB, SG, BPD/DS, and SADI-S are all safe and effective in treating super obese patients and improving their metabolic diseases to a certain extent.

摘要

本研究旨在回顾性分析接受 RYGB、SG、BPD/DS 和 SADI-S 治疗的超级肥胖患者的围手术期和术后随访数据。一项回顾性观察研究分析了 60 例接受减重手术的超级肥胖患者的围手术期和术后随访数据。共有 34 名男性和 26 名女性参与了这项研究。参与者术前 BMI 的平均值为 53.81 ± 3.25kg/m²。与术前相比,所有四个患者组在术后 3、6 和 12 个月时的体重和 BMI 均显著下降。此外,所有四个组的 TWL(%)和 EWL(%)在同一时期内逐渐增加。与术前相比,四个组的收缩压和舒张压、糖化血红蛋白、尿酸、甘油三酯和总胆固醇在术后 1 年均有不同程度的下降。RYGB、SG、BPD/DS 和 SADI-S 均能安全有效地治疗超级肥胖患者,并在一定程度上改善其代谢疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8a/11076457/154bd252a481/41598_2024_60983_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8a/11076457/a7d9022bc763/41598_2024_60983_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8a/11076457/154bd252a481/41598_2024_60983_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8a/11076457/a7d9022bc763/41598_2024_60983_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f8a/11076457/154bd252a481/41598_2024_60983_Fig2_HTML.jpg

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本文引用的文献

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Lancet Diabetes Endocrinol. 2023 Aug;11(8):555-566. doi: 10.1016/S2213-8587(23)00127-4. Epub 2023 Jul 3.
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Long-term weight loss and metabolic benefit from Roux-en-Y gastric bypass in patients with superobesity.超级肥胖患者 Roux-en-Y 胃旁路手术后的长期体重减轻和代谢益处。
BJS Open. 2022 Nov 2;6(6). doi: 10.1093/bjsopen/zrac145.
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Single-anastomosis duodenoileal bypass with sleeve in the United States: a first comparative safety analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database.
美国单吻合口十二指肠空肠旁路术加袖套:代谢和减重手术认证和质量改进计划数据库的首次比较安全性分析。
Surg Obes Relat Dis. 2023 Jan;19(1):11-17. doi: 10.1016/j.soard.2022.08.016. Epub 2022 Sep 6.
4
Outcome of Sleeve Gastrectomy Versus Roux-en-Y Gastric Bypass for Patients with Super Obesity (Body Mass Index > 50 kg/m).袖状胃切除术与 Roux-en-Y 胃旁路术治疗超级肥胖症患者(体重指数 > 50 kg/m)的结果。
Obes Surg. 2022 May;32(5):1546-1555. doi: 10.1007/s11695-022-05965-6. Epub 2022 Feb 17.
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