国际指南(共识)中胃袖状切除术病人胃食管反流病的处理建议解读OA北大核心CSTPCD

Obesity has become a global public health problem.Compared with drug therapy,Bariatric metabolic surgery(MBS)can not only help patients lose weight,reduce mortality,but also achieve long-term stable health.Laparoscopic sleeve gastrectomy(LSG),as one of MBS,has become the best operation for the treatment of obesity.Because it does not change the normal anatomical structure,is simple,and has few complications.Gastroesophageal reflux disease(GERD),as a common complication of LSG,has been paid more and more attention in recent years because it will seriously affect the surgical effect and patient prognosis once it is not properly handled.Based on domestic and foreign diagnosis and treatment guidelines,clinicians should do a good job of preoperative GERD examination,and provide reasonable treatment for obese patients with GERD.For patients receiving LSG,the principle of individualized treatment should be followed,fine intraoperative operations should be done,and plans should be formulated to deal with the occurrence of GERD after SG,so as to further improve the weight loss effect and prognosis of patients.