从迷你胃旁路术到单吻合口胃旁路术——单吻合口胃旁路术的20年  

From mini gastric bypass to one anastomosis gastric bypass,20 years of one anastomosis gastric bypass

作　　者：刘洋[1] 李梦伊 张萌[1] 张鹏[1] 张忠涛[1] Liu Yang;Li Mengyi;Zhang Meng;Zhang Peng;Zhang Zhongtao(Department of General Surgery,Beijing Friendship Hospital,Capital Medical University&National Clinical Research Center for Digestive Diseases,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院普通外科,国家消化系统疾病临床医学研究中心,北京100050

出　　处：《中华胃肠外科杂志》2022年第10期869-874,共6页Chinese Journal of Gastrointestinal Surgery

基　　金：国家科技支撑计划课题(2015BAI13B09);首都卫生发展科研专项(2020-1-2021)。

摘　　要：2001年,Rutledge教授报道了首例迷你胃旁路术(MGB);2004年,Carbajo教授对MGB进行了技术改进并命名为单吻合口胃旁路术(OAGB)。20年来,大量关于OAGB和MGB的临床和基础研究不断见诸报道,关于MGB和OAGB一些焦点问题的答案也逐渐明晰。从技术角度来看,MGB和OAGB可以视作一种手术的两个亚变种,以下统称OAGB。OAGB的优势包括:(1)简单、安全和更低的内疝发生率;(2)稳定持久的减重效果;(3)稳定持久的降糖效果。OAGB的劣势包括胆汁反流和较高的营养不良发生率。OAGB在有效性和安全性之间达到了良好的均衡,成为近年来最受关注且增长最为迅速的减重代谢手术方式,已经被国际减重代谢外科联盟和美国代谢和减肥外科学会推荐为标准术式。In 2001,Rutledge reported the first case of mini gastric bypass(MGB).Carbajo improved the technique of MGB and named it one anastomosis gastric bypass(OAGB).Over the past 20 years,a large number of clinical and basic studies on OAGB/MGB have been reported,and the answers to some key questions about OAGB/MGB have gradually become clear.From a technical point of view,MGB and OAGB can be regarded as two subvariants of one surgery.The advantages of OAGB/MGB include:(1)simplicity,safety and lower probability of internal hernia;(2)stable and durable weight reduction effect;(3)stable and durable remission rate of type 2 Diabetes.The disadvantages of OAGB/MGB include:(1)bile reflux;(2)higher risk of malnutrition.OAGB/MGB has achieved a good balance between effectiveness and safety,and has become the most noticed and fastest-growing bariatric and metabolic procedure in recent years.OAGB/MGB has been recommended as a standard bariatric and metabolic procedure by IFSO and ASMBS.

关 键 词：减重代谢手术 迷你胃旁路术 单吻合口胃旁路术 

分 类 号：R656.61[医药卫生—外科学]