腹腔镜胃袖状切除术胃食管反流的预防和处理策略  

Prevention and treatment strategies of gastroesophageal reflux disease in laparoscopic sleeve gastrectomy

作　　者：朱江帆 Zhu Jiangfan(Department of Bariatric and Metabolic Surgery,The Tenth People's Hospital of Tongji University,Shanghai 200072,China)

机构地区：[1]同济大学附属第十人民医院减重代谢外科,上海200072

出　　处：《中华消化外科杂志》2024年第8期1029-1033,共5页Chinese Journal of Digestive Surgery

基　　金：国家重点研发计划(2022YFC2505202)。

摘　　要：腹腔镜胃袖状切除术是目前常见的减重手术方式,然而肥胖症患者术后胃食管反流(GERD)发生率显著升高.行减重手术的肥胖症患者术前常合并GERD,且选择胃袖状切除术后会出现新发反流.因此,GERD是胃袖状切除术后最常见、最重要的远期并发症.笔者回顾文献并结合自身临床经验,阐述肥胖症合并GERD患者手术方式的选择,胃袖状切除术中GERD的预防以及术后发生GERD的处理.Laparoscopic sleeve gastrectomy is the most popularly performed bariatric surgery procedure.However,the incidence of postoperative gastroesophageal reflux disease(GERD)is increased in obesity patients.Obesity patients undergoing bariatric surgery are often accompanied with GERD.The de novo GERD is also common after sleeve gastrectomy.Therefore,GERD is the most common and important long-term complication following sleeve gastrectomy.The author reviews literature and combines own clinical experience to elaborate on the selection of surgical methods for obesity patients with GERD,the prevention of GERD in sleeve gastrectomy,and the management of postoperative GERD.

关 键 词：肥胖症 减重代谢外科 胃袖状切除术 胃食管反流 胃胸腔内移位 

分 类 号：R656.61[医药卫生—外科学]