减重术后部分并发症成因和对策的现状分析  

Causes and Countermeasures of Complications After Bariatric Surgery

作　　者：石宏斌 戴勇[2] 李晓峰[2] 杨梦凡 高建丽 董晋[2] SHI Hongbin;DAI Yong;LI Xiaofeng;YANG Mengfan;GAO Jianli;DONG Jin(Graduate School,Qinghai University,Xining 810000,China;Department of General Surgery,Qinghai University Affiliated Hospital,Xining 810000,China)

机构地区：[1]青海大学研究生院,西宁810000 [2]青海大学附属医院普外三科,西宁810000

出　　处：《中国医学科学院学报》2023年第5期833-839,共7页Acta Academiae Medicinae Sinicae

摘　　要：Roux-en-Y胃旁路术和腹腔镜胃袖状切除术相对其他减重术不仅操作简单,且术后并发症较少,逐渐成为目前临床上常用的两种减重术式。减重术后常常引起一系列的并发症,如胆石症、营养不良、胃食管反流病、肾结石以及育龄女性后代出生缺陷等,但国内外对其发病原因和处理对策的研究结论仍存有争议。本文主要对术后并发症如胃食管反流病、胆囊结石、贫血、营养缺乏症及相关病变、育龄女性后代出生缺陷以及肾结石的危险因素和处理对策进行综述。Roux-en-Y gastric bypass and laparoscopic sleeve gastrectomy characterized by simple operation and few postoperative complications have gradually become the two most commonly used surgical methods in clinical practice.A series of complications often occur after bariatric surgery,including gallstone disease,anemia,malnutrition,gastroesophageal reflux disease,kidney stones,and birth defects in offspring of women of childbearing age.There are controversies regarding the causes and countermeasures of these complications.This article mainly reviews the risk factors and countermeasures for the complications after bariatric surgery.

关 键 词：减重术 胃食管反流病 胆囊结石 营养缺乏症 肾结石 

分 类 号：R619.9[医药卫生—外科学]