Shergill Kainaat, Boppana Kusalik, Almansouri Naiela E, Bakkannavar Saloni, Faheem Youmna, Jaiswal Amisha, Butt Samia Rauf R
Department of General Surgery, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, IND.
Cureus. 2024 Apr 11;16(4):e58086. doi: 10.7759/cureus.58086. eCollection 2024 Apr.
Bariatric surgery, although effective in treating obesity-related comorbidities, rarely results in intussusception, which is a severe complication. This study aimed to enhance clinical practice and establish early diagnosis by elucidating risk factors and management strategies associated with intussusception. We conducted this systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analysis 2020 criteria. We looked through PubMed, PubMed Central, ScienceDirect, ScienceOpen, MyScienceWork, Hyper Articles en Ligne (HAL), Google Scholar, and the Medical Literature Analysis and Retrieval System Online for relevant studies and research. Articles were screened according to inclusion and exclusion criteria, and relevance. We employed pertinent quality appraisal instruments to look for bias. Initially, we discovered 2,833 items. We eliminated redundant and unnecessary publications. After reviewing all the articles, we selected 30 studies based on their titles and abstracts. Out of the 30 studies reviewed, 12 papers were included in this review, with the remaining 18 being eliminated due to low quality. Medical practitioners and surgeons have a responsibility to meticulously monitor and provide postoperative surveillance, with a particular emphasis placed on individuals exhibiting symptoms of abdominal pain and vomiting, as there is a clinical imperative to consider the possibility of intussusception. The management approach, whether conservative or surgical, remains contingent upon the clinical context.
减肥手术虽然在治疗肥胖相关合并症方面有效,但很少导致肠套叠,而肠套叠是一种严重并发症。本研究旨在通过阐明与肠套叠相关的危险因素和管理策略来加强临床实践并建立早期诊断。我们按照《系统评价和Meta分析的首选报告项目2020》标准进行了这项系统评价。我们在PubMed、PubMed Central、ScienceDirect、ScienceOpen、MyScienceWork、在线超文章(HAL)、谷歌学术和医学文献分析与检索系统在线中查找相关研究。根据纳入和排除标准以及相关性对文章进行筛选。我们使用相关的质量评估工具来寻找偏倚。最初,我们发现了2833篇文章。我们剔除了冗余和不必要的出版物。在审查所有文章后,我们根据标题和摘要选择了30项研究。在审查的30项研究中,有12篇论文被纳入本综述,其余18篇因质量低而被剔除。医生和外科医生有责任仔细监测并提供术后监测,尤其要关注出现腹痛和呕吐症状的个体,因为临床上必须考虑肠套叠的可能性。管理方法,无论是保守治疗还是手术治疗,仍取决于临床情况。