摘要
目前,主流的减重手术为腹腔镜胃袖状切除术、Roux-en-Y胃转流术和胃束带术。在这三种术式中,腹腔镜胃袖状切除由于相对简单、安全、术后营养缺乏程度较轻,近年应用日益增多。胃袖状切除术最初系用于极度肥胖患者的初次手术,为转流术创造条件。既往研究认为这种术式减重及代谢改善效果不如转流术[1,2]。为克服上述问题,有作者尝试在胃袖状切除基础上增加各种附加肠道转流。主要包括小肠转流、回肠间置,以及回肠间置+小肠转流。本文拟对此技术作一综述。
出处
《中华腔镜外科杂志(电子版)》
2014年第3期71-73,共3页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
参考文献25
-
1Li JF, Lai DD, Lin ZH, et al. Comparison of the Long-term Results of Roux-en-Y Gastric Bypass and Sleeve Gastrectomy for Morbid Obesity: A Systematic Review and Meta-Analysis of Randomized and Nonrandomized Trials [J]. Surg Laparosc Endosc Percutan Tech, 2014, 24 (1) : 1-11.
-
2Chouillard EK, Karaa A, Elkhoury M, et al. Laparoscopie Roux-en-Y gastric bypass versus laparoseopic sleeve gastrectomy for morbid obesity: case-control study [J]. Surg Obes Relat Dis, 2011, 7 (4) : 500-505.
-
3朱占永,罗晓,严玲玲,吴丹,吴毅平.袖状胃切除附加改良空回肠旁路术对GK大鼠血糖和血脂代谢的影响[J].华中科技大学学报(医学版),2011,40(2):200-203. 被引量:4
-
4Alamo M, Sepulveda M, Gellona J, et al. Sleeve gastrectomy with jejunal bypass for the treatment of type 2 diabetes mellitus in patients with body mass index <35 kg/m2. A cohort study[J]. Obes Surg, 2012, 22 (7) : 1097-1103.
-
5阿民布和,闫巍,孙志鹏,张能维.腹腔镜袖状胃切除联合胃空肠转流术治疗肥胖症合并2型糖尿病[J].中华普通外科杂志,2011,26(9):774-775. 被引量:7
-
6Mechanick JI, Kushner R.F, Shanik M, et al. American Association of Clinical Endocrinologists, The Obesity Society, and American Society for Metabolic & Bariatric Surgery medical guidelines for clinical practice for the perioperative nutritional, metabolic, and nonsurgical support of the bariatric surgery patient[J]. Obesity (Silver Spring), 2009, 17 Suppl 1 : S1-70.
-
7Rodriguez-Grunert L, Galvao Neto MP, Alamo M, et al. First human experience with endoscopically deliv.ered and retrieved duodenal-jejunal bypass sleeve[J]. Surg Obes Relat Dis, 2008, 4 (1) : 55-59.
-
8Raj PP, Kumaravel R, C, et al Laparoscopic duodenojejunal bypass with sleeve gastrectomy: preliminary results of a prospective series from India [J]. Surg Endose, 2012, 26(3):688-692.
-
9KasamaK, Tagaya N, Kanehira E, et al. Laparoscopic sleeve gastrectomy with duodenojejunal bypass: technique and preliminary results[J]. Obes Surg, 2009, 19 (10): 1341-1345.
-
10Gagner M. Laparoscopic sleeve gastrectomy with duodenojejunal bypass for severe obesity and/or type 2 diabetes may not require duodenojejunal bypass initially [J]. Obes Surg, 2010, 20 (9) : 1323-1324; author reply 1325-1326.
二级参考文献56
-
1Momany F A,Bowers C Y,Reynolds G A,et al.Conformational energy studies and in vitro and in vivo activity data on growth hormone-releasing peptides[J].Endocrinology,1984,114(5):1531-1536.
-
2Papotti M,Ghè C,Cassoni P,et al.Growth hormone secretagogue binding sites in peripheral human tissues[J].J Clin Endocrinol Metab,2000,85(10):3803-3807.
-
3Soares J B,Leite-Moreira A F.GhreLin,des-acyl ghrelin and and obestatin:three pieces of the same puzzle[J].Peptides,2008,29(7):1255-1270.
-
4Seim I,Collet C,Herington A C,et al.Revised genomic structure of the human ghrelin gene and identification of novel exons,alternative splice variants and natural antisense transcripts[J].BMC Genomics,2007,8(2007):298.
-
5Date Y,Kojima M,Hosoda H,et al.Ghrelin,a novel growth hormone-releasing acylated peptide,is synthesized in a distinct endocrine cell type in the gastrointestinal tracts of rats and humans[J].Endocrinology,2000,141 (11):4255-4261.
-
6Tritos N A,Kokkotou E G.The physiology and potential clinical applications of ghrelin,a novel peptide hormone[J].Mayo Clin Proc,2006,81 (5):653-660.
-
7Overduin J,Frayo R S,Grill H J,et al.Role of the duodenum and macronutrient type in ghrelin regulation[J].Endocrinology,2005,146(2):845-850.
-
8Misra M,Miller K K,Kuo K,et al.Secretory dynamics of leptin in adolescent girls with anorexia nervosa and healthy adolescents[J].Am J Physiol Endocrinol Metab,2005,289 (3):E373-81.
-
9Tsch(o)p M,Weyer C,Tataranni P A,et al.Circulating ghrelin levels are decreased in human obesity[J].Diabetes,2001,50(4):707-709.
-
10Otto B,Tsch(o)p M,Heldwein W,et al.Endogenous and exogenous glucocorticoids decrease plasma ghrelin in humans[J].Eur J Endocrinol,2004,151 (1):113-117.
共引文献37
-
1杨士军,崔兆辉,陆卫平.Graves病患者血清Ghrelin水平与甲状腺功能状态的关系[J].第三军医大学学报,2010,32(24):2668-2668. 被引量:1
-
2李红芳,杜业亮,陈静.急性脑出血患者血浆Ghrelin水平的变化及其意义[J].中国医师进修杂志,2011,34(7):49-50.
-
3王家乡,彭克美,李鹏,金升藻.禽类Ghrelin研究进展[J].动物医学进展,2011,32(9):94-98.
-
4谢秋娴,杨纯,郑曼嘉,黄韩蔚,陈婵玉.多囊卵巢综合征患者血清Ghrelin水平与胰岛素抵抗关系的研究[J].临床医学工程,2012,19(1):36-38.
-
5覃宗升,钟玳,马德亮,黄涛,白慧华.改良胃旁路手术治疗肥胖并2型糖尿病[J].成都医学院学报,2012,7(02Z):90-91.
-
6钱秋海,李红专,钱卫斌,郭春芳,蔡欣蕊,赵红敏.糖肝康对糖尿病脂肪肝大鼠肝脏Ghrelin表达的影响[J].中华全科医学,2013,11(2):168-170. 被引量:6
-
7杨映弘,颜璟,吴艳军,蔺原,岳晓林.袖状胃切除间置回肠的十二指肠空肠旁路手术对非肥胖性2型糖尿病患者脂质代谢的影响[J].中华胃肠外科杂志,2013,16(3):273-275. 被引量:4
-
8杜业亮,刘桂贞,刘英.急性脑出血患者血浆Ghrelin的动态变化及意义[J].中国实用神经疾病杂志,2013,16(7):50-51. 被引量:1
-
9左慧萍,张元珍,杨晓红,李正.肥胖孕妇体内血浆Ghrelin水平变化[J].临床和实验医学杂志,2013,12(18):1482-1483.
-
10谭湘芳,张群锋,黄余良,张俊芳,陈鹄.血清Ghrelin水平与多囊卵巢综合征胰岛素抵抗的相关性研究[J].现代预防医学,2013,40(20):3827-3828. 被引量:4
同被引文献31
-
1Schauer PR,Bhatt DL,Kirwan JP,et al.Bariatric surgery versus intensive medical therapy for diabetes—3-year outcomes[J].N Engl J Med,2014,370(21):2002-2013.
-
2Li JF,Lai DD,Lin ZH,et al.Comparison of the long-term results of Roux-en-Y gastric bypass and sleeve gastrectomy for morbid obesity:a systematic review and meta-analysis of randomized and nonrandomized trials[J].Surg Laparosc Endosc Percutan Tech,2014,24(1):1-11.
-
3Courcoulas AP,Christian N J,Belle SH,et al.Weight change and health outcomes at 3 years after bariatric surgery among individuals with severe obesity[J].JAMA,2013,310 (22):2416-2425.
-
4Melissa J,Peppe A,Askoxilakis J,et al.Sleeve gastrectomy plus side-to-side jejunoileal anastomosis for the treatment of morbid obesity and metabolic diseases:a promising operation[J].Obes Surg,2012,22 (7):1104-1109.
-
5Pournaras DJ,Osborne A,Hawkins SC,et al.Remission of type 2 diabetes after gastric bypass and banding:mechanisms and 2 year outcomes[J].Ann Surg,2010,252(6):966-971.
-
6Buchwald H,Estok R,Fahrbach K,et al.Weight and type 2 diabetes after bariatric surgery:systematic review and meta-analysis[J].Am J Med,2009,122(3):248-256.
-
7Bielefeldt K.Bariatric surgery versus intensive medical therapy for diabetes[J].N Engl J Med,2014,371 (7):681-682.
-
8Li F,Zhang G,Liang J,et al.Sleeve gastrectomy provides a better control of diabetes by decreasing ghrelin in the diabetic GotoKakizaki rats[J].J Gastrointest Surg,2009,13 (12):2302-2308.
-
9Wang TT,Hu SY,Gao HD,et al.Ileal transposition controls diabetes as well as modified duodenal jejunal bypass with better lipid lowering in a nonobese rat model of type Ⅱ diabetes by increasing GLP-1[J].Ann Surg,2008,247(6):968-975.
-
10Mingrone G.Role of the incretin system in the remission of type 2 diabetes following bariatric surgery[J].Nutr Metab Cardiovasc Dis,2008,18(8):574-579.".
引证文献4
-
1王恺京,徐安安,周小钢,陆佳军,高玮,陈志国,刘晓慧,朱江帆.胃袖状切除联合空回肠侧侧吻合术对2型糖尿病大鼠减重与改善代谢的影响[J].中华消化外科杂志,2015,14(7):564-568. 被引量:8
-
2马颖璋,朱江帆,忻颖,唐霖,陆佳军,陆伟,彭建佩.腹腔镜胃袖状切除加空回肠侧侧吻合术在治疗肥胖症中的应用价值[J].中华肥胖与代谢病电子杂志,2016,2(3):142-145. 被引量:11
-
3朱小林.肥胖病人减重手术治疗方案选择的研究综述[J].腹部外科,2016,29(6):482-485. 被引量:3
-
4朱江帆.腹腔镜胃袖状切除附加空回肠侧侧吻合术可以加强减重与代谢改善效果[J].中华腔镜外科杂志(电子版),2016,9(6):325-326. 被引量:2
二级引证文献21
-
1侯建彬.胃大部分切除术与单纯修补术治疗急性胃穿孔的临床效果分析[J].中外医学研究,2015,13(35):16-18. 被引量:14
-
2刘凤恩,刘志勇,段训洪,黄文祯,赖闺娥,易坚.袖状胃切除治疗大鼠2型糖尿病的作用机制研究[J].赣南医学院学报,2015,35(6):846-851. 被引量:1
-
3朱江帆.腹腔镜胃袖状切除附加空回肠侧侧吻合术可以加强减重与代谢改善效果[J].中华腔镜外科杂志(电子版),2016,9(6):325-326. 被引量:2
-
4赵象文,刘彦章,梁銮盛,杨慧英,胡艳兴,周霞.胃袖状切除加空肠旁路术在肥胖症的初步应用[J].中华腔镜外科杂志(电子版),2016,9(6):339-343. 被引量:11
-
5梁辉,林士波,管蒋.减重代谢外科手术方式的选择[J].中华胃肠外科杂志,2017,20(4):388-392. 被引量:11
-
6马驰野,朱江帆,马颖璋,王恺京,陆佳军,唐霖,陈婕,彭建佩.腹腔镜袖状胃切除术在缓解多囊卵巢综合征中的应用价值[J].中华胃肠外科杂志,2017,20(4):455-457. 被引量:11
-
7安东均,安琳,张成,韩立.腹腔镜改良回肠转位术治疗T2DM的临床疗效[J].中华内分泌外科杂志,2017,11(6):459-462.
-
8刘勇,马丹丹,邵俊伟,孙康,熊斌.胃袖状切除术联合空肠旁路术对2型糖尿病大鼠血糖及胰高血糖素样肽1表达的影响[J].华南国防医学杂志,2018,32(9):599-602. 被引量:4
-
9王键,王芳.残胃容积对腹腔镜胃袖状切除术患者临床结局的影响[J].中国现代普通外科进展,2018,21(10):770-773.
-
10朱利勇,李伟正,朱晒红.减重手术术式选择[J].中国普外基础与临床杂志,2019,26(6):645-648. 被引量:5
-
1刘启武,何运良,张爱民,孙建中.胰腺癌60例临床分析[J].医学研究与教育,1997,24(4):12-13.
-
2天津肿瘤医院首创腋颈静脉转流术[J].科学养生,2008(12):55-55.
-
3周长江,刘绪军,谢军,王洪雷.晚期食管贲门癌转流术10例体会[J].临床外科杂志,1998,6(6):368-368.
-
4李广丽.Roux-en-Y胃转流术治疗2型糖尿病9例临床观察[J].当代医学,2012,18(23):33-35. 被引量:2
-
5王晓霞.Roux-en-Y胃转流术治疗Ⅱ型糖尿病围手术期护理体会[J].中国现代药物应用,2011,5(13):104-104. 被引量:1
-
6应敏刚,周东,黄峰.胃转流术对合并2型糖尿病胃癌患者血糖的影响:附67例临床报告[J].内分泌外科杂志,2009,3(1):32-34. 被引量:8
-
7宫芸芸,马榕.减重与预防乳腺癌[J].中国公共卫生,1998,14(5):313-315. 被引量:2
-
8李国胜,潘玉琨,郑兴学,李耀辉.区域化疗加转流术治疗未切除胰腺癌的体会[J].中华肝胆外科杂志,1998,4(5):328-329.
-
9孟化,颜朝阳,张秋月,张忠涛.腹腔镜下根治性远端胃癌切除术+Roux-en-Y胃转流术治疗早期胃癌合并肥胖型2型糖尿病的治疗体会[J].腹腔镜外科杂志,2016,21(1):24-26. 被引量:6
-
10王后岭.胃癌根治术联合改良胃转流术治疗胃癌40例临床观察[J].中国民族民间医药,2015,24(15):55-56.