单吻合口胃旁路术的价值、争议及对策  

The value,controversy and strategy of one anastomosis gastric bypass

作　　者：刘洋[1] 张忠涛[1] LIU Yang;ZHANG Zhong-tao(Department of General Surgery,Beijing Friendship Hospital,Capital Medical Universit&y 1National Clinical Research Centerfor 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中心,北京100050

出　　处：《中国实用外科杂志》2023年第5期514-519,共6页Chinese Journal of Practical Surgery

基　　金：国家科技支撑计划课题(No.2015BAI13B09);首都卫生发展科研专项(No.2020-1-2021)。

摘　　要：单吻合口胃旁路术(OAGB)在有效性和安全性之间达到良好的均衡性,近年来总体呈蓬勃增长之势。OAGB后胆汁反流和理论上潜在的癌症风险是其过去、现在及将是来仍将持续争议的焦点。OAGB后最多见的修正原因是严重营养不良,需因引起减重与代谢外科医生的重视。严格遵循指南的手术适应证,根据病人的具体情况个体化评价是否适合推荐OAGB,避免陷入为追求效果而旷置过多小肠的误区,是现阶段临床安全开展OAGB的有效策略。One anastomosis gastric bypass(OAGB)has achieved a good balance between effectiveness and safety and has shown a vigorous growth trend in recent years.Bile reflux and theoretical potential cancer risk after OAGB are ongoing controversies in its past,present,and future.The most common cause of revision after OAGB is severe malnutrition,which needs to be taken attention to by bariatric and metabolic surgeons.Strictly following the surgical indications of the guidelines and evaluating the suitability of recommending OACB according to the specific situation of the patient,while avoiding the misconception of excessively aggressive bypass small intestine length,are the effective strategy to safely perform OAGB in clinical practice at this stage.

关 键 词：减重与代谢手术 单吻合口胃旁路术 胃袖状切除术 ROUX-EN-Y胃旁路术 肥胖 糖尿病 

分 类 号：R6[医药卫生—外科学]