吻合口氩等离子体对胃分流术患者体重恢复有显著抑制作用

L. Souza, L. Quadros, R. L. K. Junior, J. Campos, I. Filho, F. Coimbra, Rodrigo Silvestre, Mário Flamini Júnior
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引用次数: 6

摘要

大约40%的人口超重。据估计,巴西每年约有8万人死于肥胖。减肥手术一直是治疗和预防由病态肥胖引起的并发症的最有效方法。胃旁路术显示出短期内体重显著减轻的良好效果。然而,从长远来看,大约有10%到20%的患者体重会回升。这个数字似乎相对较低;当手术没有伴随生活方式的长期改变时,实际情况要高得多。因此,我们假设通过在吻合口处施加氩等离子体,可以避免重量的恢复。这项工作的目的是研究氩等离子体电灼对胃旁路手术患者体重恢复的影响。37例行胃旁路治疗的患者中,女性24例(75%),男性8例(25%)。考虑胃旁路术,术前平均体重为117.61 Kg。术后平均体重79.94 Kg。术前、术后体重平均差37.66 kg,差异有统计学意义(p<0.0001)。对于氩气的使用,干预前平均体重为94.52。干预前后平均差异5.87 kg,差异有统计学意义(p<0.0001)。环的使用与吻合口直径的减小有显著的相关性(p=0.019)。育儿袋的平均大小为5。袋大小与氩气使用效果无统计学相关性。结果表明,应用氩气后,患者的平均体重没有明显减轻,约50%的患者,尤其是女性患者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Argon Plasma Effect about Anastomosis was Significant to Inhibit the Weight Regained in Patients Undergoing Gastric Bypass
About 40% of the population is overweight. It is estimated that there are about 80,000 deaths per year in Brazil for reasons arising from obesity. Bariatric surgery has been the most effective method for the treatment and prevention of complications caused by morbid obesity. The gastric bypass has shown good short term results in significant reduction of body weight. However, in the long run about 10 to 20% of patients tend to weight regained. This number seems to be relatively low; the reality is significantly higher when surgery is not accompanied by a long-term change in lifestyle. Thus, it was hypothesized that by applying argon plasma on the anastomosis, the weight regained is avoided. The aim of this work was to study the effect of argon plasma fulguration in the weight regained in patients undergoing gastric bypass. Of the 37 patients who underwent gastric bypass 24(75%) were female and 8(25%) were male. Considering the gastric bypass, the mean preoperative weight was 117.61 Kg. After the average weight surgery was 79.94 Kg. The mean difference of pre and post-operative weight was 37.66 kg, the difference being significant (p<0.0001). Regarding the use of argon, the average pre intervention weight was 94.52. The average difference pre and post intervention was 5.87 kg, with statistically significant (p<0.0001). There was a significant correlation between use of the ring and smaller diameter of the anastomosis at the third session (p=0.019). The average size of the pouch was 5. There was no statistical correlation between size of the pouch and efficacy of argon use. It was concluded that after application of argon was no significant reduction in the average weight of the patients, about 50% of patients, especially female.
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