减重代谢手术前后规范化胃镜检查的分析研究  

Analysis of standardized gastroscopy before and after bariatric surgery

作　　者：汪颖[1] 李泉[1] 李沛霖[1] 薛立新 吴璇[2] 刘宝胤 Ying Wang;Quan Li;Peilin Li;Lixin Xue;Xuan Wu;Baoyin Liu(Department of Gastroenterology,The Affiliated Fu Xing Hospital of Capital Medical University,100039 Beijing,China;Department of General Surgery,The Affiliated Fu Xing Hospital of Capital Medical University,100039 Beijing,China;Department of General Surgery,China-Japan Friendship Hospital,100029 Beijing,China)

机构地区：[1]首都医科大学附属复兴医院消化科,北京100039 [2]首都医科大学附属复兴医院普外科,北京100039 [3]北京中日友好医院普外科,北京100039

出　　处：《中华胃肠内镜电子杂志》2022年第2期91-94,共4页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

摘　　要：目的从消化内镜医生角度来分析减重手术前后消化道腔内的特征及远期随诊.方法回顾性分析2020年6月1日至2021年11月30日经首都医科大学附属复兴医院减重患者132例,对比手术前后7620张胃镜图片.结果减重手术前的胃镜检查显示,52例(39.4%)发现存在滑动型食管裂孔疝、27例(20.4%)存在反流性食管炎、19例(14.4%)存在胃体黏膜网格样充血水肿、胃窦黏膜颗粒样改变、十二指肠肠绒毛短缩.减重手术后胃镜检查显示,溃疡病腹腔镜袖状胃切除术(LSG)后发生率约2.9%(1例)、腹腔镜Roux-en-Y胃旁路术(LRGB)后发生率约5.3%(1例);均未发生吻合口炎.结论对减重手术1年后的胃镜检查随访未发现消化道息肉及肿瘤倾向,针对肥胖症的治疗及防控多学科协作任重道远.Objective To analyze the characteristics and long-term follow-up of gastrointestinal tract before and after bariatric surgery from the perspective of digestive endoscopy.Methods A total of 132 patients with weight loss in Fuxing Hospital affiliated to Capital Medical University was selected from June 1st 2020 to November 30th 2021.7620 gastroscopic images before and after surgery were compared.Results Gastroscopic examination before weight reduction revealed that sliding hiatal hernia was found in 39.4%of patients.20.4%of patients had reflux esophagitis.About14.4%patients had hyperemia and edema of gastric mucosa,granuloid changes of gastric antrum mucosa and shortening of duodenal and intestinal villi before weight loss.The incidence of ulcer disease after weight reduction surgery was about 1.9%.No stomatitis was found.Conclusion There was no polyp or tumor tendency in endoscopic follow-up one year after weight loss surgery.Multidisciplinary collaboration in the treatment and prevention and control of obesity remains a long way to go.

关 键 词：减重代谢手术 袖状胃 胃旁路 胃镜检查 

分 类 号：R656.61[医药卫生—外科学]