袖状胃切除术患者胃食管反流病诊治专家共识(2024版)  

Shanghai Consensus on the Diagnosis and Treatment of Gastroesophageal Reflux Disease in Patients Undergoing Sleeve Gastrectomy

作　　者：中国医师协会外科医师分会肥胖和代谢病专家工作组 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 克力木·阿不都热依木[3] 王存川 姚琪远[5] 花荣[5] 朱利勇 董志勇 艾克拜尔·艾力[3] 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 Saihong;Kelimu Abudureyimu;Wang Cunchuan;Yao Qiyuan

机构地区：[1]不详 [2]中南大学湘雅三医院 [3]新疆维吾尔自治区人民医院 [4]暨南大学附属第一医院 [5]复旦大学附属华山医院

出　　处：《中华胃食管反流病电子杂志》2024年第2期57-74,共18页Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)

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,来自中日韩三国的41位在减重代谢手术及胃食管反流诊治上有丰富经验的专家,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。Mobid 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 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：经胸超声心动图检查 结构化报告 单病种 超声 质量控制 

分 类 号：R571[医药卫生—消化系统]