腹腔镜胃袖状切除术与胃食管反流病关系的研究进展

Research progress on relationship between laparoscopic sleeve gastrectomy and gastroesophageal reflux disease

减重手术是目前治疗肥胖症快速、有效、持久的方法。其中腹腔镜胃袖状切除术（LSG）由于操作简单、不改变胃肠道结构、安全性高且疗效明显，近年来得以迅速普及。肥胖症患者在行LSG术后，胃食管反流病（GERD）发生率明显升高，或其原有的GERD症状加重，机制十分复杂，目前尚无统一意见。

Bariatric surgery is one of the most rapid, effective and sustained treatment options for obesity. In recent years, laparoscopic sleeve increasingly popular due to gastrectomy （ LSG ） has become simple manipulation, maintaining gastrointestinal structures, high safety and significant efficacy. Several published studies have reported an increased rate of gastroesophageal reflux disease （GERD） after the operation, or it can aggravate the preexisting symptoms. The mechanism of GERD is very complex and controversial.