腹腔镜袖状胃切除术中抗反流策略的研究进展  

Research advances in anti-reflux strategies during laparoscopic sleeve gastrectomy

作　　者：谢兴 任亦星[1] XIE Xing;REN Yixing(Department of Gastrointestinal Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637100,China)

机构地区：[1]川北医学院第一附属医院胃肠外一科,四川南充637100

出　　处：《重庆医学》2025年第3期765-769,774,共6页Chongqing Medical Journal

基　　金：国家自然科学基金项目(82070535)。

摘　　要：腹腔镜袖状胃切除术(LSG)是治疗肥胖及其合并症的有效手段。LSG以其安全性高、效果显著等优势,在减重手术中的应用比例持续增加。该手术不仅能够实现持续性减重,还能有效改善肥胖患者的代谢性并发症。然而,研究显示LSG有增加胃食管反流疾病(GERD)发生风险的可能。长期反流不仅导致患者术后生活质量下降,还可能成为诱发食管癌的重要因素,因此预防肥胖患者LSG术后GERD的发生具有重要临床意义。近年来,抗反流手术在GERD的外科治疗中逐渐兴起,显示出良好的效果。但将抗反流手术技术应用于减重手术中仍不常见。该文旨在综述肥胖患者LSG术中采用抗反流手术的现状,探讨其可行性、有效性及潜在优势。Laparoscopic sleeve gastrectomy(LSG)is an effective intervention for obesity and its comorbidities.The utilization rate of LSG in bariatric surgery continues to increase due to its high safety and significant efficacy.The utilization rate of LSG in bariatric surgery continues to increase.This procedure not only achieves sustained weight loss but also effectively improves metabolic complications in obese patients.However,studies have shown that LSG may potentially increase the risk of gastroesophageal reflux disease(GERD).Long-term reflux not only reduces postoperative quality of life but may also become an important risk factor for esophageal cancer.Therefore,preventing GERD after LSG in obese patients holds significant clinical implications.In recent years,anti-reflux procedures have gradually gained prominence in the surgical treatment of GERD,demonstrating favorable outcomes.Nevertheless,the application of anti-reflux surgical techniques in bariatric surgery remains uncommon.This article reviews the current status of combining anti-reflux procedures with LSG in obese patients,discussing their feasibility,effectiveness,and potential advantages.

关 键 词：腹腔镜袖状胃切除术 减重手术 胃食管反流疾病 肥胖 

分 类 号：R656.61[医药卫生—外科学]