袖状胃切除术后复发体重增加的长型窄袋 Roux-en-Y 胃旁路术（LN-RYGB）。
Long Narrow Pouch Roux-en-Y Gastric Bypass (LN-RYGB) for Recurrent Weight Gain After Sleeve Gastrectomy.
机构信息
Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University, No. 613, Huangpu Avenue West, Guangzhou, China.
出版信息
Obes Surg. 2024 Sep;34(9):3509-3512. doi: 10.1007/s11695-024-07412-0. Epub 2024 Jul 23.
PURPOSE
Sleeve gastrectomy (SG) is the most performed metabolic and bariatric surgery (MBS). However, with the increase of SG in different regions, recurrent weight gain after SG is challenging for bariatric surgeons. We introduce a modified operation with a long, narrow pouch in RYGB (LN-RYGB) for weight regain after SG which enhanced the restrictive function in RYGB.
METHODS AND RESULTS
The LN-RYGB has a longer and narrow gastric pouch for 10 cm. The length of small Roux and biliopancreatic are the same as RYGB. As a revisional surgery, the post-1 year excess weight loss percentage (%EWL) was 63.1% and total weight loss percentage (%TWL) was 29.1% in 5 cases.
CONCLUSION
LN-RYGB is an optional treatment for recurrent weight gain after SG; a randomized control trial is needed to verify the long-term effect of LN-RYGB.
目的
袖状胃切除术（SG）是最常进行的代谢和减重手术（MBS）。然而，随着 SG 在不同地区的应用增加，SG 后复发性体重增加对减重外科医生来说是一个挑战。我们引入了一种改良手术，即 RYGB 中带有长而窄的胃袋（LN-RYGB），以增强 RYGB 的限制功能，从而解决 SG 后复发性体重增加的问题。
方法和结果
LN-RYGB 的胃袋较长且狭窄，长度为 10cm。小 Roux 和胆胰管的长度与 RYGB 相同。作为一种修正手术，5 例患者术后 1 年的 excess weight loss percentage（%EWL）为 63.1%，total weight loss percentage（%TWL）为 29.1%。
结论
LN-RYGB 是治疗 SG 后复发性体重增加的一种可选治疗方法；需要进行随机对照试验来验证 LN-RYGB 的长期效果。
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