袖状胃切除术衍生手术与胃旁路术疗效及安全性的比较

Comparison of the efficacy and safety of sleeve gastrectomy plus procedures and gastric bypass

减重代谢手术是治疗肥胖症及其合并疾病的有效治疗方式。胃旁路术一直是代谢手术的金标准, 但目前袖状胃切除术应用较多, 两种手术方式均存在缺点。近年来袖状胃切除术衍生出多种旨在提高其疗效的手术方式, 主要包括袖状胃切除+胃束带术、袖状胃切除+空肠旁路术、袖状胃切除+十二指肠空肠旁路术、袖状胃切除+单吻合口十二指肠回肠旁路术、袖状胃切除+单吻合口保留幽门的十二指肠转位术、袖状胃切除+单吻合口十二指肠空肠旁路术等。笔者对袖状胃切除术的新兴衍生手术方式与胃旁路术疗效及安全性的比较进行综述, 旨在为临床实践提供参考。

Bariatric and metabolic surgery is an effective treatment for obesity and its associated diseases.Gastric bypass has been the gold standard surgery,but now sleeve gastrectomy has become the most commonly used procedure,both procedures have certain disadvantages.In recent years,on the basis of sleeve gastrectomy,a variety of derivative procedures have been developed to improve the efficacy of sleeve gastrectomy.They mainly include sleeve gastrectomy with gastric banding,sleeve gastrectomy with jejunal bypass,sleeve gastrectomy with duodenal-jejunal bypass,single-anastomosis duodeno-ileal bypass with sleeve gastrectomy,stomach intestinal pylorus sparing and single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy.The authors summarize the efficacy and safely of these new operations from sleeve gastrectomy and gastric bypass in order to provide certain references for clinical practice.