胃袖状切除联合双通路术对预防胃袖状切除术后胃食管反流病的价值

The value of sleeve gastrectomy with transit bipartition in preventing gastroesophageal reflux disease after sleeve gastrectomy

胃袖状切除术(SG)作为目前开展最为广泛的减重代谢手术,虽然效果显著,但术后胃食管反流病(GERD)的发生率较高。胃袖状切除联合双通路术(SG-TB)作为SG联合手术,通过在SG基础上增加一个通道,降低胃内压力,减少食物在胃内滞留时间,从而有效降低GERD的发生风险,同时其减重代谢效果也较好。但是,SG-TB预防SG术后GERD的机制尚未完全明确,仍需要开展更多的基础和临床研究以明确。

Sleeve gastrectomy(SG),as the most widely performed metabolic and bariatric surgery,has significant effects,but SG is associated with a high incidence of postoperative gastroesophageal reflux disease(GERD).The sleeve gastrectomy combined with the transit bipartition(SG-TB)procedure,as an SG Plus surgery,reduces the gastric pressure and the retention time of food in the stomach by adding a channel based on SG,effectively reducing the risk of GERD and maintaining a good weight loss metabolic effect.However,the mechanism by which SG-TB prevents GERD after SG has not been fully clarified,and more basic and clinical studies are still needed to illustrate it.