已有造口术患者的减肥手术:初步可行性研究。

IF 0.4 4区医学 Q4 NURSING

Bariatric Surgical Practice and Patient Care Pub Date : 2022-06-01 Epub Date: 2022-06-08 DOI:10.1089/bari.2021.0131

Ray Portela, Ahmet Vahibe, Joseph N Badaoui, Omer U I Hassan, Travis J Mckenzie, Todd A Kellogg, Omar M Ghanem

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引用次数: 0

摘要

背景:减肥手术是减轻体重和解决肥胖相关合并症最有效的治疗方法。然而，由于缺乏评估其可行性的数据，减肥手术并不容易在特定人群中提供。本研究旨在评估已有造口术患者的减肥手术。方法:我们通过回顾性病例系列来评估Roux-en-Y胃旁路术(RYGB)或袖式胃切除术(SG)在末端回肠造口或结肠造口患者中的安全性。分析患者人口统计数据，包括肥胖相关的合并症、总体健康状况(美国麻醉医师学会评分)和短期并发症(术后30天)。结果:纳入6例患者。平均年龄58岁，术前平均体重指数41.6。三个病人做了结肠造口术，三个做了回肠造口术。手术前造口平均时间为11年。2例因外伤，2例因炎症性肠病，1例因癌症，1例因硬皮病。术后平均随访23个月。没有患者增加造口量或输液中心就诊。一名患者有急诊科就诊，一名有短期并发症，一名SG转化为RYGB。结论:对于选定的回肠造口/结肠造口患者，减肥手术在技术上是可行的，且短期安全性合理。

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Bariatric Surgery in Patients with Existing Ostomy: A Preliminary Feasibility Study.

Background: Bariatric surgery is the most effective treatment for weight loss and obesity-related comorbidity resolution. However, bariatric surgery is not readily offered in specific populations due to the lack of data assessing its feasibility. This study intends to evaluate bariatric surgery in patients with an existing ostomy.

Methods: We conducted a retrospective case series to assess the safety of Roux-en-Y gastric bypass (RYGB) or sleeve gastrectomy (SG) in patients with an end ileostomy or colostomy. Patient demographics, including obesity-related comorbidities, overall health status (American Society of Anesthesiologists score), and short-term complications (up to 30 days postoperatively), were analyzed.

Results: Six patients were included. The mean age was 58 years, and the mean preoperative body mass index was 41.6. Three patients had a colostomy, and three had an ileostomy. The mean time of ostomy before surgery was 11 years. Two ostomies were due to trauma, two due to inflammatory bowel disease, one due to cancer, and one due to scleroderma. Mean postoperative follow-up was 23 months. No patient had increased ostomy output or infusion center visit. One patient had an ED visit, one had a short-term complication, and one had SG conversion to RYGB.

Conclusions: Bariatric surgery is technically feasible in selected patients with ileostomy/colostomy with a reasonable short-term safety profile.

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来源期刊

Bariatric Surgical Practice and Patient Care NURSING-

CiteScore

0.80

自引率

0.00%

发文量

期刊介绍： Bariatric Surgical Practice and Patient Care is the essential peer-reviewed journal delivering clinical best practices and quality updates for achieving optimal bariatric surgical outcomes. Bariatric Surgical Practice and Patient Care coverage includes: Quality outcomes measurement and reporting Process innovations and care delivery Short- and long-term surgical complications Pre-surgical diagnosis and consultation Pre-op, peri-op, and post-op standards of practice Patient access Patient safety issues Nutritional and dietary support Bariatric surgical emergencies Best practices and current standards for bariatric surgery Culture and ethics Body contouring and reconstructive surgery Bariatric teamwork and communication.