不同小肠旷置长度应用于Roux-en-Y胃旁路术的研究进展  

Research advances on the effect of small bowel exclusion length on gastric bypass in obese patients

作　　者：马庆阳 陈文辉 郭婕 张俊昌[1] 王存川[1] Ma Qingyang;Chen Wenhui;Guo Jie;Zhang Junchang;Wang Cunchuan(Department of Obesity&Metabolic Surgery,First Affiliated Hospital,Ji'nan University,Guangdong Guangzhou 510630,China;Department of Gastrointestinal Surgery,Second Municipal People's Hospital,Guangxi Nanning 530000,China)

机构地区：[1]暨南大学附属第一医院肥胖与代谢病外科,广东广州510630 [2]南宁市第二人民医院胃肠外科,广西南宁530000

出　　处：《腹部外科》2024年第5期313-318,共6页Journal of Abdominal Surgery

摘　　要：小肠旷置是Roux-en-Y胃旁路术(Roux-en-Y gastric bypass,RYGB)的关键环节,然而小肠旷置的长度,依然没有统一意见。在实行精准医疗的当下,通过对病人的小肠长度进行精确测量,个体化的制定合适的小肠旷置长度,可以在达到更佳的手术效果的同时减少术后并发症的发生。此文将结合文献介绍RYGB中不同的小肠旷置长度对手术效果的影响,期望为未来的临床实践和研究设计提供新的思路。Greated the limbs of small bowel has been a key link during Roux-en-Y gastric bypass(RYGB).However,there is still no consensus on a proper length of small bowel exclusion.In current era of precision medicine,through accurately measuring the length of small bowel,appropriate length of small bowel exclusion may be individualized for optimizing surgical efficacies and lowering the occurrence of postoperative complications.Summarizing the effects of different small bowel exclusion lengths during gastric bypass on surgical outcomes,this review was intended to provide new rationales for future clinical practices and research designs.

关 键 词：ROUX-EN-Y胃旁路术 肥胖症 2型糖尿病 小肠长度 

分 类 号：R723.14[医药卫生—儿科] R656.6[医药卫生—临床医学]