中国实用外科杂志2024，Vol.44Issue(8)：867-871,5.DOI:10.19538/j.cjps.issn1005-2208.2024.08.06
胃袖状切除术后袖状胃胸腔内上移的原因与防治
Causes and prevention of gastric migration into the thorax after sleeve gastrectomy
摘要
Abstract
Intra-thoracic sleeve migration(ITSM)is a potential complication after laparoscopic sleeve gastrectomy(LSG)and is related to central obesity,gastroesophageal reflux disease,surgical procedures,postoperative weight loss,and other factors.The auxiliary diagnosis can be done by computed tomography(CT),esophagogastroduodenoscopy,upper gastrointestinal imaging,and other related examinations.Repairing esophageal hiatus hernia during LSG is the key to preventing ITSM.Acute ITSM is prone to cause serious consequences such as incarceration,requiring rapid intervention,while long-term ITSM after surgery affects the quality of life and also requires surgical intervention.For patients with a high risk of recurrences,such as large hiatal hernia(HH)defects and gastric stenosis,if there are no contraindications to Roux-en-Y gastric bypass(RYGB)when they can accept the risk of surgery,modifying it to RYGB is recommended,and combining with other surgeries to reduce the risk of recurrence.关键词
减重代谢手术/腹腔镜胃袖状切除术/袖状胃胸腔内上移/肥胖症Key words
bariatric and metabolic surgery/laparoscopic sleeve gastrectomy/intra-thoracic sleeve migration/obesity分类
医药卫生引用本文复制引用
江云颂,杨景哥..胃袖状切除术后袖状胃胸腔内上移的原因与防治[J].中国实用外科杂志,2024,44(8):867-871,5.基金项目
广州市科技计划项目基础与应用基础研究项目(No.2024A03J1259) （No.2024A03J1259）
广州市科技计划市校院联合资助项目(No.202201020064) （No.202201020064）
