胃袖状切除术技术细节对术后胃食管反流病发生发展的影响及对策OA北大核心CSTPCD
The influence of technical details of sleeve gastrectomy on the occurrence and development of postoperative gastroesophageal reflux disease and its management strategy
腹腔镜胃袖状切除术(LSG)由于具有有效、安全与操作便捷等优势已成为全球实施最多的减重代谢外科(MBS)术式,胃食管反流病(GERD)是其术后重要的并发症之一,严重影响病人的生活质量与治疗效果.了解LSG促GERD发生发展的原因与机制,规范LSG手术操作,特别是注重手术细节把握,并对LSG术后发生的GERD给予正确处理对于进一步提高LSG手术效果,改善病人生活质量具有重要的意义.
Laparoscopic sleeve gastrectomy(LSG)has become the most widely performed metabolic and bariatric surgery(MBS)worldwide due to its effectiveness,safety,and ease of operation.Gastroesophageal reflux disease(GERD)is the most important postoperative complication,seriously affecting patients'life quality and treatment effectiveness.Understanding the causes and mechanisms underlying how LSG promotes the occurrence and development of GERD,standardizing LSG surgical procedures,paying special attention to surgical details,and providing correct treatment for GERD after LSG surgery have great significance to further improve the effectiveness of LSG surgery and enhance patients'life quality.
杨建军;董文培;顾岩
复旦大学附属华东医院普外科,上海 200040
临床医学
胃袖状切除术胃食管反流病手术操作
sleeve gastrectomygastroesophageal reflux diseasesurgical procedure
《中国实用外科杂志》 2024 (008)
876-880 / 5
国家自然科学基金项目(No.81970455,No.82170526);复旦大学重大预研项目(No.IDF163008);复旦大学附属华东医院临床医学研究中心项目(No.LCZX2201);复旦大学附属华东医院重点专病项目(No.ZDZB2218)
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