胃底折叠术对预防胃袖状切除术后胃食管反流病的价值  

Value of fundoplication in the prevention of gastroesophageal reflux disease after sleeve gastrectomy

作　　者：艾克拜尔·艾力[1] 玉素江·图荪托合提 克力木·阿不都热依木[1] Aikebaier·Aili;Yusujiang·Tusuntuohet;Kelimu Abudureyimu(Department of Minimally Invasive Surgery,Hernia and Abdominal Wall Surgery,Research Institute of General and Minimally Invasive Surgery,Xinjiang Clinical Research Center for Gastroesophageal Reflux Disease and Bariatric Metabolic Surgery,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830001,China;不详)

机构地区：[1]新疆维吾尔自治区人民医院微创、疝和腹壁外科新疆胃食管反流病与减重代谢外科临床医学研究中心普外微创研究所,新疆乌鲁木齐830011 [2]新疆医科大学研究生学院,新疆乌鲁木齐830054

出　　处：《中国实用外科杂志》2024年第8期884-888,共5页Chinese Journal of Practical Surgery

基　　金：国家自然科学基金项目(No.82060166);新疆维吾尔自治区重点研发任务专项-厅厅联动项目(No.2023B03010)。

摘　　要：随着减重代谢外科手术量的增加,减重代谢外科医师开始重视胃袖状切除术对胃食管反流病的影响,进而提出胃袖状切除联合胃底折叠术,旨在联合SG的减重效果和胃底折叠术的抗反流效果。克力木·阿不都热依木提出克氏抗反流胃袖状切除术,以治疗肥胖病人术前存在的胃食管反流病且防治术后胃食管反流病,已获得临床高度认可。胃袖状切除联合胃底折叠术的循证医学证据仍需不断积累,以进一步规范该术式的适应证、术式选择的条件和手术操作流程。With the increase of bariatric and metabolic surgery,bariatric and metabolic surgeons began to pay attention to the influence of sleeve gastrectomy(SG)on gastroesophageal reflux disease,and then proposed SG combined with fundoplication,aiming to combine the weight loss effect of SG and the anti-reflux effect of fundoplication.Klimu Abdureimu proposed Klimu’s anti-reflux sleeve gastrectomy to treat preoperative gastroesophageal reflux disease in obese patients and to prevent the progression of postoperative gastroesophageal reflux disease,which has been highly recognized in clinical practice.The evidence-based medical evidence of SG combined with fundoplication still needs to be accumulated to further standardize the indications,conditions of surgical choice,and surgical procedures of this procedure.

关 键 词：胃底折叠术 胃袖状切除术 胃食管反流病 

分 类 号：R6[医药卫生—外科学]