外科理论与实践2026，Vol.31Issue(1)：58-63,6.DOI:10.16139/j.1007-9610.2026.01.10
LSG对肥胖合并Ⅰ型食管裂孔疝病人术后胃食管反流病的影响
Impact of laparoscopic sleeve gastrectomy on gastroesophageal reflux disease in patients with obesity and type Ⅰ hiatal hernia
摘要
Abstract
Objective To investigate the effect of laparoscopic sleeve gastrectomy(LSG)on gastroesophageal reflux disease(GERD)after surgery in obese patients with type Ⅰ hiatal hernia(HH).Methods A retrospective analysis was conducted on 63 obese patients admitted between March 2023 and December 2024.The patients were divided into two groups:group A,simple obesity(n=50),and group B,obesity with type Ⅰ HH(n=13).Both groups underwent SG,and no concurrent HH repair was performed in Group B.Gerd-Q scores were used to evaluate reflux symptoms preoperatively and at 3 and 6 months postoperatively,and the differences between the groups were compared.Results There was no significant difference in the Gerd-Q scores between the two groups before surgery and 3,6 months after surgery(all P>0.05).When comparing the Gerd-Q scores of the two groups of patients at 3,6 months after surgery with those before surgery,there were no significant differences(P>0.05).There was no significant difference in the prevalence of GERD between the two groups before surgery and 3,6 months after surgery(all P>0.05).Conclusions For obese patients with type ⅠHH,undergoing LSG did not increase the incidence of postoperative GERD.关键词
腹腔镜胃袖状切除术/食管裂孔疝/胃食管反流病/胃食管反流病问卷Key words
Laparoscopic sleeve gastrectomy(LSG)/Hiatal hernia(HH)/Gastroesophageal reflux disease(GERD)/Gerd-Q分类
医药卫生引用本文复制引用
孙武青,郭震,姬阆,郝少龙,孙海涛,白日星,韩威..LSG对肥胖合并Ⅰ型食管裂孔疝病人术后胃食管反流病的影响[J].外科理论与实践,2026,31(1):58-63,6.基金项目
通州区卫生发展专项基金(ws-2023-233) （ws-2023-233）
