中国实用外科杂志2024，Vol.44Issue(8)：871-875,5.DOI:10.19538/j.cjps.issn1005-2208.2024.08.07
行胃袖状切除术病人食管裂孔疝的诊治策略
Diagnosis and treatment strategy of hiatal hernia in patients undergoing sleeve gastrectomy
摘要
Abstract
The proportion of obese patients complicated with gastroesophageal reflux disease and hiatal hernia is relatively high.The reflux symptoms may aggravate or improve after sleeve gastrectomy(SG).Concurrent management of concomitant hiatal hernia during the operation is an important measure to reduce postoperative reflux,and the standardization of sleeve gastrectomy should be achieved.Preoperative evaluation and prediction of hiatal hernia are sometimes difficult.A preoperative gastroesophageal reflux disease questionnaire,gastroscopy,upper gastrointestinal imaging,and CT can indicate whether intraoperative exploration is necessary.Concurrent repair is performed at the same time according to the intraoperative anatomical manifestations of the hiatal hernia,and the application of patches is decided as needed.关键词
减重代谢外科/食管裂孔疝/胃食管反流病/胃袖状切除术/Roux-en-Y胃旁路术Key words
bariatric and metabolic surgery/hiatal hernia/gastroesophageal reflux disease/sleeve gastrectomy/Roux-en-Y gastric bypass分类
医药卫生引用本文复制引用
梁辉..行胃袖状切除术病人食管裂孔疝的诊治策略[J].中国实用外科杂志,2024,44(8):871-875,5.基金项目
江苏省科教能力提升工程项目(No.ZDXK202222) （No.ZDXK202222）
