内镜下袖状胃成形术治疗肥胖病的临床效果分析  

Clinical efficacy analysis of endoscopic sleeve gastroplasty in the treatment of obesity

作　　者：吴良平 戴晓江 陈烨 黄红艳 谭俊杰 何基培 赵为国 汪蕾 曾晖 Wu Liangping;Dai Xiaojiang;Chen Ye;Huang Hongyan;Tan Junjie;He Jipei;Zhao Weiguo;Wang Lei;Zeng Hui(Surgical Center for Obesity and Diabetes,Jinshazhou Hospital,Guangzhou University of Chinese Medicine,Guangzhou 510168,China;"Department of Surgery,Hainan Boao Evergrande International Hospital,Qionghai 571400,China)

机构地区：[1]广州中医药大学金沙洲医院减重及糖尿病外科,广州510168 [2]海南省博鳌恒大国际医院外科,琼海571400

出　　处：《中华胃肠外科杂志》2024年第8期846-849,共4页Chinese Journal of Gastrointestinal Surgery

基　　金：广州市科技计划项目(202002020069)。

摘　　要：目的:探讨内镜下袖状胃成形术(ESG)治疗肥胖病的临床效果。方法:1例女性26岁患者,因“体质量进行性增加2年”于2022年10月20日入院,体质量指数(BMI)30.04 kg/m^(2),体脂百分比39.2%,内脏脂肪等级为15。采用OverStitch^(SX)内镜缝合系统进行ESG手术。结果:患者手术顺利,术中出血约5 ml。术后第1天出院。术后两周行胃碘油造影见胃呈管状形态,术后6个月复查BMI为25.2 kg/m^(2),体脂百分比32%,内脏脂肪等级:10,术后6月总体质量丢失率(%TBWL)为16%,多余体质量减少率(%EWL)为54.5%。结论:ESG治疗肥胖性疾病可行有效。Objective:To explore the clinical efficacy of endoscopic sleeve gastrectomy(ESG)in the treatment of obesity.Method:A 26 year old female patient was admitted on October 20,2022 due to a progressive increase in weight for 2 years.Her body mass index(BMI)was 30.04 kg/m^(2),body fat percentage was 39.2%,and visceral fat grade was 15.ESG was performed using the OverStitch^(SX) endoscopic suture system.Result:The surgery was successful,with approximately 5 ml of intraoperative bleeding.The patient discharged on the first day after surgery.Two weeks after surgery,small bowel follow-through showed a tubular shape of the stomach.At 6 months after surgery,the BMI was 25.2 kg/m^(2),body fat percentage was 32%,visceral fat grade was 10.The total body weight loss rate(%TBWL)at 6 months after surgery was 16%,and the excess weight loss rate(%EWL)was 54.5%.Conclusion:ESG is effective for the treatment of obesity.

关 键 词：内镜缝合系统 袖状胃成形术 肥胖 减重 

分 类 号：R656.61[医药卫生—外科学]