胃袖状切除相关术式中应重视胃窦部解剖与生理功能  

Attention should be paid to the anatomy and physiological functions of the gastric antrum during SG and SG Plus operations

作　　者：闫文貌[1] 孙海涛[2] 白日星 Yan Wenmao;Sun Haitao;Bai Rixing(Department of General Surgery,Beijing Tiantan Hospital,Capital Medical University,100070 Beijing,China;Department of General Surgery,Beijing Luhe Hospital,Capital Medical University,101199 Beijing,China)

机构地区：[1]首都医科大学附属北京天坛医院普外科,北京101149 [2]首都医科大学附属北京潞河医院普外科,北京101199

出　　处：《中华肥胖与代谢病电子杂志》2023年第3期161-164,共4页Chinese Journal Of Obesity and Metabolic Diseases：Electronic Edition

摘　　要：近十多年来,减重与代谢手术在中国快速开展,其中袖状胃切除术(SG)及袖状胃切除联合手术(SG Plus)的例数占减重与代谢手术总量的90%以上。胃食管反流性疾病(GERD)是SG及SG Plus术后主要并发症之一。探究SG及SG Plus术后GERD发生机制以及如何减少SG及SG Plus术后GERD发生问题是目前在减重与代谢外科领域讨论的热点。因SG及SG Plus术中操作均涉及胃窦部周围解剖,本文将通过梳理胃窦部的解剖及生理功能,进一步探讨SG及SG Plus术中保留完整胃窦部对减少术后GERD的发生可能机制。Over the past 10 years,bariatric and metabolic surgery has been rapidly developed in China,and the cases of sleeve gastrectomy(SG)and sleeve gastrectomy combined surgery(SG Plus)accounted for more than 90%of the total bariatric and metabolic surgery.Gastroesophageal reflux disease(GERD)is one of the main complications after SG and SG Plus.Exploring the mechanism of GERD after SG and SG Plus and how to reduce the occurrence of GERD after SG and SG Plus are currently hot topics in the field of of bariatric and metabolic surgery.Since the operation of SG and SG Plus involves the anatomy around the gastric antrum,In this paper,by reviewing the anatomy and physiological functions of the gastric antrum,we will further explore the possible mechanism of preserving the intact gastric antrum during SG and SG Plus operations to reduce the occurrence of postoperative GERD.

关 键 词：胃袖状切除术 胃窦部 胃食管反流疾病 

分 类 号：R573[医药卫生—消化系统]