袖状胃切除术后胃食管反流病诊治中日韩专家上海共识(2024版)  

Shanghai consensus on the diagnosis and treatment of gastroesophageal reflux disease in patients undergoing sleeve gastrectomy(2024 edition)

作　　者：中国医师协会外科医师分会肥胖和代谢病外科专家工作组 中国医师协会外科医师分会胃食管反流疾病诊疗外科专家工作组 日本肥胖治疗学会 韩国减重与代谢外科学会 朱晒红[2] 克力木·阿不都热依木[3] 王存川[4] 姚琪远[5] 花荣[6] 朱利勇 董志勇 艾克拜尔·艾力[9] Chinese Society for Metabolic and Bariatric Surgery(CSMBS);Chinese Society for Gastroesophageal Reflux Disease(CSGERD);Japanese Society for Treatment of Obesity(JSTO);Korean Society for Metabolic and Bariatric Surgery(KSMBS);Zhu Shaihong;Kelimu Abudureyimu;Wang Cunchuan;Yao Qiyuan(不详;Department of Bariatric and Metabolic Surgery,the Third Xiangya Hospital,Central South University,Changsha 410008,China;Department of Minimally Invasive Surgery,Hernia and Abdominal Wall Surgery,People's Hospital of Xinjiang Uygur Autonomous Region,the Clinical Research Center of Xinjiang Rheumatoid Arthritis,Urumqi 830001,China;Department of Gastrointestinal Surgery,Department of Bariatric Surgery,the First Affiliated Hospital,Ji'nan University,Guangzhou 510630,China;Center for Bariatric and Hernia Surgery,Department of General Surgery,Huashan Hospital,Fudan University,Shanghai 200040,China)

机构地区：[1]不详 [2]中南大学湘雅三医院普通外科,长沙410008 [3]新疆维吾尔自治区人民医院微创、疝与腹壁外科,乌鲁木齐830001 [4]暨南大学医学院第一附属医院胃肠外科/减重中心,广州510630 [5]复旦大学附属华山医院普通外科肥胖疝外科中心,上海200040 [6]复旦大学附属华山医院 [7]中南大学湘雅三医院 [8]暨南大学附属第一医院 [9]新疆维吾尔自治区人民医院

出　　处：《中华胃肠外科杂志》2024年第9期863-878,共16页Chinese Journal of Gastrointestinal Surgery

摘　　要：病态肥胖及其伴随疾病已是全世界需要共同面对的最严重的公共卫生问题之一,而减重代谢手术到目前为止仍是长期控制体质量最有效的方法。在所有的减重术式中,袖状胃切除术是目前应用最广的一种,但它并不是完美的术式。术后可能加重原有的或出现新发的胃食管反流病一直是这种术式所要面对的最严重的问题之一。而且,目前关于袖状胃切除术患者胃食管反流病的诊治方面还缺乏高级别临床实验的证据。因此,由国内四家减重手术中心发起,来自中国、日本和韩国的41位在减重代谢手术及胃食管反流诊治方面有丰富经验的专家,以Delphi法来达成“袖状胃切除术患者胃食管反流病诊治的共识”。本共识中共有59个征询问题,其中44个达成共识。期待本共识不仅能作为临床诊治的参考依据,也能为未来高质量临床研究提供更多可能的方向。Morbid obesity and its accompanying diseases have become one of the most serious public health problems warranting global effort and bariatric and metabolic surgery is still the most effective method for long-term weight control.Among all bariatric and metabolic procedures,sleeve gastrectomy is currently the most widely used,but it is not a perfect procedure.One of the most serious issues that this surgical procedure faces is the possibility of worsening existing or developing de novo gastroesophageal reflux disease after surgery.Moreover,there is currently a lack of high-level clinical trial evidence on the diagnosis and treatment of gastroesophageal reflux disease in patients undergoing sleeve gastrectomy.Therefore,initiated by four domestic bariatric and metabolic surgery centers,41 experts with rich experience in bariatric and metabolic surgery and diagnosis and treatment of gastroesophageal reflux disease from China,Japan,and South Korea reached a consensus on the diagnosis and treatment of gastroesophageal reflux disease in sleeve gastrectomy patients using the Delphi method.There are a total of 59 consultation questions in this consensus,of which 44 have reached a consensus.We hope that this consensus can not only serve as a reference for clinical diagnosis and treatment,but also provide more possible directions for future high-quality clinical research.

关 键 词：肥胖症 减重手术 袖状胃切除术 胃食管反流病 食管裂孔疝 并发症 

分 类 号：R656.61[医药卫生—外科学]