腹腔镜外科杂志2018，Vol.23Issue(1)：17-20,4.DOI:10.13499/j.cnki.fqjwkzz.2018.01.017
腹腔镜胃袖状切除术对胃食管反流病的影响
The effect of laparoscopic sleeve gastrectomy on gastroesophageal reflux disease
曹东亮 1朱江帆 1马颖璋 1马驰野 1郭海军 2汪运节2
作者信息
- 1. 同济大学附属东方医院,上海,200120
- 2. 上海市浦东新区周浦医院
- 折叠
摘要
Abstract
Objective:To investigate the prevalence of gastroesophageal reflux disease(GERD)in obese patients and the effect of laparoscopic sleeve gastrectomy(LSG)on GERD.Methods:A total of 113 patients underwent LSG from Nov.2015 to Oct.2016, there were 21 men and 92 women with a mean age of(30±8).All patients were followed up for 12 months after LSG.The perioperative and postoperative GERD symptoms were evaluated using reflux diagnostic questionnaire(RDQ),and GERD diagnosis was considered positive if RDQ≥12.Results:Twelve patients were diagnosed with GERD(10.6%)preoperatively.The remission rate was 75%(9/12)with 9 patients' RDQ<12 postoperatively.30 patients(29.7%)showed new-onset GERD after LSG,of which 20 were treated with proton pump inhibitor and 10 remitted.90%(9/10)of new-onset GERD patients without medicine therapy had the alleviation. 10.9%(11/101)patients met the diagnostic criteria of new-onset GERD 12 months after LSG.Conclusions:The prevalence of GERD is markedly increased in the obese patients,and symptoms of GERD can be significantly improved after LSG.The risk of new-onset GERD exists after LSG and can be remitted effectively,yet a minority of patients with new-onset GERD may suffer from persisted symp-toms.关键词
胃食管反流/肥胖症/袖状胃切除术/腹腔镜检查Key words
Gastroesophageal reflux/Obesity/Sleeve gastrectomy/Laparoscopy分类
医药卫生引用本文复制引用
曹东亮,朱江帆,马颖璋,马驰野,郭海军,汪运节..腹腔镜胃袖状切除术对胃食管反流病的影响[J].腹腔镜外科杂志,2018,23(1):17-20,4.
