抗反流手术对体重的影响

The effect of anti-reflux surgery on body weight

目的观察腹腔镜Nissen胃底折叠术对体重的影响。方法回顾性分析2017年11月至2018年12月,新疆维吾尔自治区人民医院收治的73例食管裂孔疝合并胃食管反流病患者接受腹腔镜Nissen胃底折叠术后对体重的影响。结果本组患者顺利完成手术,无中转开腹;平均手术时间71.5(62~95)min,术后平均住院时间4.3(4~7)d。73例患者术后胃食管反流症状明显缓解,均停用抑酸药物。73例患者术前,术后3、6、12个月体重分别为(76.78±12.16)、(72.19±10.91)、(70.33±10.62)、(70.63±10.33)kg;术前,术后3、6、12个月体质量指数(BMI)分别为(27.40±4.17)、(25.77±3.85)、(25.11±3.76)、(25.22±3.68)kg/m^2。在整个随访期间总平均减重6.15kg。结论腹腔镜Nissen胃底折叠术具有显著的减重效果。

Objective To investigate the effect of Nissen fundoplication on body weight.Methods From November 2017 to December 2018,laparoscopic Nissen fundoplication(LNF)was carried out in 73 patients,who have been diagnosed with hiatal hernia with gastroesophageal reflux disease(GERD)at People's Hospital of Xinjiang Uygur Autonomous Region.Whereas,the effect of LNF on body weight was retrospectively analyzed.Result Total of 73 patients were successfully undergone the surgery without conversion to laparotomy.The mean operative time was 71.5(62~95)minutes,mean hospital stay was 4.3(4~7)days.All of the patients were released from reflux symptoms and stopped using PPIs after surgery.The body weight of the patients at time of pre-operation,3,6,12 months after surgery was(76.78±12.16)、(72.19±10.91)、(70.33±10.62)、(70.63±10.33)kg.The BMI of all patients at time of pre-operation,3,6,12 months after surgery was(27.40±4.17)、(25.77±3.85)、(25.11±3.76)、(25.22±3.68)kg/m^2.The mean body weight lost during whole follow up time was 6.15kg.Conclusion LNF has distinct effect on loosing weight.