袖状胃切除术后并发胃食管反流的手术治疗选择的新进展  

The latest advancements in surgical treatment for post-sleeve gastrectomy reflux complications

作　　者：韦笑韩 任振 刘虎 潘晨[3] 吴立胜 Wei Xiaohan;Ren Zhen;Liu Hu;Pan Chen;Wu Lisheng(Wannan Medical College,Wuhu 241002,China;Bengbu Medical College,Bengbu 233030,China;Department of Hernia and Bariatric Metabolic Surgery,the First Affiliated Hospital of USTC,Division of Life Sciences and Medicine,University of Science and Technology of China,Hefei 230001,China)

机构地区：[1]皖南医学院,芜湖241002 [2]蚌埠蚌埠医学院,233030 [3]中国科学技术大学附属第一医院(安徽省立医院)疝及减重代谢外科,合肥230001

出　　处：《中华胃食管反流病电子杂志》2023年第4期201-206,共6页Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)

摘　　要：袖状胃切除术是一种常见的代谢手术类型,其常见并发症之一是胃食管反流。胃食管反流病给患者带来咳嗽、哮喘、烧心、胸痛、心律失常、慢性喉炎和龋齿等不适症状,对患者的生活和健康带来了较多的负面影响。本综述旨在总结袖状胃切除术后不同类型的并发胃食管反流病所需的修正手术选择。通过对相关文献的综合分析,我们发现Roux-en-Y胃旁路手术在袖状胃切除术后胃食管反流的治疗中具有重要地位。此外,新兴的手术治疗选择如LINX抗反流系统也显示出潜力。然而,治疗效果的评估和标准化、术后并发症的管理和预防,以及个体化治疗的发展仍然是面临的挑战。未来的研究应该致力于解决这些问题,并进一步探索袖状胃切除术后并发胃食管反流治疗的新方向和创新方法。Sleeve gastrectomy is a common type of metabolic surgery,with one of its common complications being gastroesophageal reflux.Gastroesophageal reflux disease brings about discomfort symptoms such as coughing,asthma,chronic laryngitis,and dental caries,leading to a significant negative impact on patients'lives and health.This review aims to summarize the corrective surgical options required for different types of post-sleeve gastrectomy gastroesophageal reflux disease.Through comprehensive analysis of relevant literature,we found that Roux-en-Y gastric bypass surgery holds an important position in the treatment of post-sleeve gastrectomy gastroesophageal reflux.Additionally,emerging surgical treatment options such as the LINX anti-reflux system also show potential.However,the evaluation and standardization of treatment effects,management and prevention of postoperative complications,and the development of personalized treatments remain challenges.Future research should focus on addressing these issues and further explore new directions and innovative methods for the treatment of post-sleeve gastrectomy gastroesophageal reflux.

关 键 词：袖状胃切除术 胃食管反流 修正手术 复胖 

分 类 号：R656.61[医药卫生—外科学]