胃切除术后胆囊结石形成机制及防治的研究进展

Research Progress on Mechanism, Prevention and Treatment of Gallstone Formation after Gastrectomy

胃切除术作为治疗胃癌及部分严重消化性溃疡的主要外科治疗手段,在近些年得到了长足的发展,而随着肥胖症及其相关疾病的逐年上升,胃切除术也更多地应用于减重代谢手术中。胆囊结石是胃切除术后远期并发症之一,随着术后生存期的延长及人们对生活质量要求的提高,胃切除术后胆囊结石的相关问题日趋得到临床医生的重视。近年来其相关机制及危险因素逐渐明朗,但针对其防治措施,在学界仍存在着一定争议。本文现就胃切除术后胆囊结石的形成机制、危险因素及防治策略等方面的研究进展作一综述。

As the main surgical treatment for gastric cancer and some severe peptic ulcer, gastrectomy has made great progress in recent years. With the increase of obesity and related diseases year by year, gastrectomy is also more used in bariatric surgery. Gallstone formation is one of the late complications after gastrectomy. With the extension of postoperative survival and the improvement of people’s requirements for quality of life, clinicians pay more and more attention to the related problems of post-gastrectomy gallstones. In recent years, its related mechanisms and risk factors have become increasingly clear, but there are still some disputes in the academic circles about its prevention and control measures. This paper reviews the research progress of post-gastrectomy gallstones from the aspects of formation mechanism, risk factors and prevention and treatment strategies.