袖状胃切除联合空肠空肠旁路术的研究进展  

Research progress of sleeve gastrectomy with jejunojejunal bypass

作　　者：王浪 丁印鲁[2] WANG Lang;DING Yinlu(Second Clinical College of Shandong University,Jinan,Shandong 250012,P.R.China;Gastrointestinal Surgery Department,Second Hospital of Shandong University,Jinan,Shandong 250012,P.R.China)

机构地区：[1]山东大学第二临床学院,济南250012 [2]山东大学第二医院胃肠外科,济南250012

出　　处：《华西医学》2025年第2期305-312,共8页West China Medical Journal

摘　　要：随着减重代谢外科的快速发展,基于袖状胃切除术的附加术式不断涌现。目前研究表明,袖状胃切除联合空肠空肠旁路术在短期减重效果上优于袖状胃切除术,且减重降糖效果与Roux-en-Y胃旁路术相当,未出现严重并发症。因此,袖状胃切除联合空肠空肠旁路术是一种安全有效的减重手术,技术简单易逆转,具有一定的临床应用价值。然而,仍需多中心、大样本、长期随访的高质量随机对照研究来进一步评估其长期疗效与安全性,并推动其规范化应用。该文旨在综述袖状胃切除联合空肠空肠旁路术的研究进展,评估其对肥胖及合并症的疗效和安全性,并展望其发展前景。With the swift evolution of bariatric and metabolic surgery,additional procedures building upon sleeve gastrectomy have consistently surfaced.Recent studies suggest that sleeve gastrectomy with jejunojejunal bypass(SG-JJB)yields superior short-term weight reduction outcomes compared to sleeve gastrectomy alone,with weight loss and glycemic control effects akin to Roux-en-Y gastric bypass,and without significant complications.As a result,SG-JJB is regarded as a safe and efficacious bariatric procedure,noted for its technical simplicity and reversibility,presenting substantial clinical utility.Nonetheless,high-quality,multicenter,large-sample,long-term follow-up randomized controlled trials are essential to further ascertain its long-term efficacy and safety,and to facilitate its standardized implementation.This article seeks to review the advancements in SG-JJB research,evaluate its effectiveness and safety in managing obesity and associated comorbidities,and explore its future developmental trajectory.

关 键 词：袖状胃切除 空肠空肠旁路术 ROUX-EN-Y胃旁路术 肥胖 

分 类 号：R656.61[医药卫生—外科学]