中国实用外科杂志2019,Vol.39Issue(4):328-331,4.DOI:10.19538/j.cjps.issn1005-2208.2019.04.07
肥胖病人胃食管反流病治疗
Treatments for gastroesophageal reflux disease in patients with obesity
邵怡凯 1姚琪远1
作者信息
- 1. 复旦大学疝病中心 复旦大学附属华山医院外科,上海 200040
- 折叠
摘要
Abstract
Gastroesophageal reflux disease (GERD) is pronouncedly increased among obese population due to the incompetence of anti-reflux barrier resulting from adiposity.While lifestyle changes, medications and anti-reflux surgery have limited effects, bariatric surgery is the best treatment for GERD in patients with obesity. Roux-en-Y gastric bypass is an ideal procedure and sleeve gastrectomy can also be accepted as an option despite its controversy over GERD.Besides, some combination surgeries have emerged to be worth attempts. In case of the postoperative reflux, causes for that should be found and treated. Revisional surgery can be performed when it is necessary.关键词
减重代谢手术/胃食管反流病/肥胖Key words
bariatric and metabolic surgery/gastroesophageal reflux disease/obese分类
医药卫生引用本文复制引用
邵怡凯,姚琪远..肥胖病人胃食管反流病治疗[J].中国实用外科杂志,2019,39(4):328-331,4.