袖状胃切除术患者胃食管反流病诊治中日韩专家上海共识(2024版)  

Shanghai consensus of Chinese,Japanese,and South Korean experts 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] 阿不都热依木 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 Obesity and Metabolic Disease Surgery;Chinese Society for Gastroesophageal Reflux Disease Surgery;Japanese Society for Treatment of Obesity;Korean Society for Bariatric and Metabolic Surgery Corresponding;Zhu Shaihong;Kelimu Abudureyimu;Wang Cunchuan;Yao Qiyuan(不详;Department of Gastrointestinal and Hernia,Bariatric and Metabolic Surgery,The Third Xiangya Hospital of Central South University,Changsha 410013,China;Department of Minimally Invasive Surgery,Hernia and Abdominal Wall Surgery,People's Hospital of Xinjiang Uygur Autonomous Region,Urumqi 830011,China;Department of Obesity and Metabolic Surgery,The First Affiliated Hospital,Ji'nan University,Guangzhou 510630,China;Center for Obesity and Hernia 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胃肠疝与减重代谢外科,长沙410013 [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830011 [4]暨南大学附属第一医院肥胖与代谢病外科,广州510630 [5]复旦大学附属华山医院肥胖疝外科,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：《中华消化外科杂志》2024年第9期1140-1157,共18页Chinese Journal of Digestive 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严重公众卫生问题之一,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。在所有的减重手术方式中,袖状胃切除术是目前应用最广的一种,但它并不是完美的手术方式,术后可能加重原有或出现新发胃食管反流病一直是这种手术方式要面对的严重问题之一。而且目前关于袖状胃切除术患者胃食管反流病的诊断与治疗还缺乏高级别临床研究证据。因此,由国内4家减重手术中心发起,来自中国、日本、韩国3个国家41位相关领域专家,以Delphi法达成《袖状胃切除术患者胃食管反流病诊治中日韩专家上海共识(2024版)》,该共识中共59个征询问题,其中44个达成共识,旨在为临床诊断与治疗提供参考,为未来高质量临床研究指明方向。Morbid obesity and its accompanying diseases have become one of the most serious public health problems that the whole world needs to face together,and bariatric metabolic surgery is still the most effective method for long-term weight control.Among all bariatric surgery procedures,sleeve gastrectomy is currently the most widely used,but it is not a perfect procedure.One of the most serious issue faced by this surgical procedure is the possibility of worsening existing or developing new 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 surgery centers,41 experts from relevant fields in China,Japan,and South Korea reach the Shanghai Consensus of Chinese,Japanese,and South Korean Experts on the Diagnosis and Treatment of Gastroesophageal Reflux Disease in Patients Undergoing Sleeve Gastrectomy(2024 edition)by using the Delphi method.There are a total of 59 consultation questions in this consensus,of which 44 have reached a consensus.It is hoped 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]