R-Y胃旁路术及其改良

IF 0.5 4区 医学 Q4 SURGERY
C. Kayaalp, F. Sumer
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引用次数: 1

摘要

©腹腔镜和内窥镜外科年鉴。保留所有权利。Ann Laparosc Endosc Surg 2020 |http://dx.doi.org/10.21037/ales-2019-bms-11现在很明显,垂直袖状胃切除术(SG)是最受欢迎的减肥手术,但我们可以客观地宣布,Rouxen-Y胃旁路术(RYGB)仍然是全球最受选择的手术之一。RYGB研究的公布结果比相对现代的发展方法(如小型胃旁路术、SG或胃折叠术)有更长的历史,并且关于RYGB的累积信息比新技术越来越多(1)。尽管这些最近开发的手术方法在减肥手术中越来越受欢迎,但随着时间的推移,RYGB的前同行,如胃束带和胆胰分流,由于其疗效较低或发病率较高,失去了他们的支持者(1)。一些不太全面的手术增加了无效减肥和/或无法治愈肥胖相关合并症的风险,另一方面,一些更复杂但更有效的手术会导致难以治疗的严重术后发病率。RYGB现在在大多数肥胖手术中心都很受欢迎,我们认为它的受欢迎源于其有效性和发病率之间的良好平衡(1)。与所有减肥手术一样,RYGB后可以看到体重回升。出于这个原因,除了被公认为经典的近端RYGB外,一些改良的应用也被用于初次或翻修手术。本文的目的是对改进的RYGB技术进行回顾。尽管文献中有许多关于RYGB修饰的研究,但可以看出RYGB手术有四种类型,近端、远端、长囊和带状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
R-Y gastric bypass and its modifications
© Annals of Laparoscopic and Endoscopic Surgery. All rights reserved. Ann Laparosc Endosc Surg 2020 | http://dx.doi.org/10.21037/ales-2019-bms-11 It is now clear that sleeve gastrectomy (SG) in a vertical manner is the most preferred weight loss surgical procedure in general, but we can objectively declare that Rouxen-Y gastric bypass (RYGB) is yet one of the most opted procedures in the globe. The announced outcomes of the RYGB studies have a longer history than the relatively contemporary developed methods such as mini-gastric bypass, SG or gastric plication, and the cumulative information on RYGB is more and more than the new techniques (1). Although these recently developed surgical methods have become more popular among the weight loss surgery options, RYGB's former peers such as gastric bands and biliopancreatic diversion lost their supporters over time due to their less efficacy or higher morbidities (1). Some less comprehensive surgical procedures increase the risk of ineffective weight loss and/or failure to cure obesity-related comorbidities and on the other hand, some more complex but more effective procedures cause severe postoperative morbidity that can be hardly treated. RYGB now keep its popularity in most obesity surgery centers and we believe that its popularity is originated from the good balance between its effectiveness and morbidity (1). As with all bariatric procedures, weight regain can be seen after RYGB. For this reason, besides proximal RYGB, which is accepted as a classic, some modified applications are used in primary or revisional surgery. The objective of this article is making a review that reminds the modified RYGB techniques. Although there are many studies on RYGB modifications in literature, it is seen that there are four types of RYGB operations, proximal, distal, long pouch and banded.
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来源期刊
CiteScore
1.40
自引率
0.00%
发文量
20
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