Laparoscopic Roux-en-Y gastric bypass in the treatment of obesity: evidence based update through randomized clinical trials and meta-analyses.

IF 0.4 Q4 SURGERY

Giornale di Chirurgia Pub Date : 2020-01-01

J Morales-Maza, J H Rodriguez-Quintero, G E Sanchez-Morales, E Sanchez Garcia-Ramos, G Romero-Velez, J L Aguilar-Frasco, A S Pimienta-Ibarra, F E Alvarez-Bautista, P Leon, J D Hernandez-Acevedo, G Del Angel-Millan, M Sierra

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引用次数: 0

Abstract

Bariatric surgery was introduced in 1953, but during the last 20 years its popularity has increased after the development of significant Romaevidenced based breakthroughs in the field. Currently, approximately 150 long-term randomized clinical trials and 40 meta-analyses support and give credibility to the surgical approaches for the treatment of obesity and its related metabolic disturbances. Bariatric surgery has demonstrated improved outcomes compared to medical treatment, conduct therapy, and endoscopic procedures. Roux-en-Y gastrojejunostomy (RYGB) and Sleeve gastrectomy (SG) are the surgical procedures most frequently performed, due to their satisfactory results and security profile. There is sufficient evidence in medical literature to perform these procedures when indicated; however, there are still several controversies regarding technical aspects that need to be further explored.

本刊更多论文

腹腔镜Roux-en-Y胃旁路治疗肥胖:随机临床试验和荟萃分析的循证更新

减肥手术于1953年推出，但在过去的20年里，随着该领域的重大突破的发展，它的受欢迎程度有所增加。目前，大约有150项长期随机临床试验和40项荟萃分析支持并给予手术方法治疗肥胖及其相关代谢紊乱的可信度。与药物治疗、传导疗法和内窥镜手术相比，减肥手术已证明改善了结果。Roux-en-Y胃空肠吻合术(RYGB)和袖胃切除术(SG)是最常用的外科手术，因为它们的效果令人满意和安全性。医学文献中有足够的证据表明，在需要时可以进行这些手术;然而，在技术方面仍然存在一些争议，需要进一步探讨。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Giornale di Chirurgia SURGERY-

CiteScore

1.10

自引率

0.00%

发文量

期刊介绍： Il Giornale di Chirurgia pubblica contributi che propongono le diverse tecniche su patologia chirurgiche di attualità. Pubblica articoli originali, casistica clinica, metodi, tecniche, terapia farmacologica pre-operatoria e post-chirurgica, ed articoli inerenti la descrizione di tecniche chirurgiche.