袖状胃切除联合食管裂孔疝修补术治疗肥胖合并胃食管反流病的临床研究进展

Clinical research progress in the treatment of obesity with gastroesophageal reflux disease by sleeve gastrectomy combined with hiatal hernia repair

肥胖是胃食管反流病的独立危险因素,通常与食管裂孔疝的存在有关。同样食管裂孔疝也是胃食管反流病的独立危险因素,在40%左右的肥胖患者中普遍存在。尽管腹腔镜下袖状胃切除术在减肥手术中越来越受欢迎,并且安全、有效,但可能会并发胃食管反流病症状以及需要进行食管裂孔疝修补。此外,腹腔镜下袖状胃切除术联合食管裂孔疝修补术对胃食管反流病症状的影响存在争议以及疗效尚不清楚。因此,现主要综述腹腔镜下袖状胃切除术联合食管裂孔疝修补术对肥胖合并胃食管反流病的影响以及目前研究所存在的问题。

Obesity is an independent risk factor of gastroesophageal reflux disease,which is usually related to the existence of esophageal hiatal hernia.Similarly,hiatal hernia is an independent risk factor of gastroesophageal reflux disease,which is prevalent in about 40%of obese patients.Although laparoscopic sleeve gastrectomy is becoming more and more popular in weight-loss surgery,and it is safe and effective,it may be accompanied by symptoms of gastroesophageal reflux disease and the need for esophageal hiatal hernia repair.In addition,the effect of laparoscopic sleeve gastrectomy combined with hiatus hernia repair on the symptoms of gastroesophageal reflux disease is controversial and the efficacy is not clear.Therefore,this article mainly reviews the influence of laparoscopic sleeve gastrectomy combined with hiatus hernia repair on obesity with gastroesophageal reflux disease and the existing problems.