袖状胃切除附加手术:肥胖与糖尿病治疗的新选择
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董光龙, Email: gldong301@163.com

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首都临床特色应用研究与成果推广基金资助项目(Z151100004015209)。


Sleeve gastrectomy plus procedures: new choice for treatment of obesity and diabetes
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    摘要:

    代谢手术是治疗肥胖症和2型糖尿病的有效方法之一。袖状胃切除术因其操作简单、效果确切而被广泛接受,但单一的袖状胃切除术的减重及糖尿病缓解效果低于胃旁路术,并且存在术后复胖及糖尿病缓解率下降等问题。因此,近年来在袖状胃切除术基础上出现了多种旨在提高袖状胃切除疗效的附加术式,主要包括袖状胃切除加单吻合口十二指肠回肠旁路术(SADI-S)、袖状胃切除加十二指肠空肠旁路术(SG-DJB)、袖状胃切除加单吻合口十二指肠空肠旁路术(SADJB-SG)、袖状胃切除加改良空回肠旁路术(SG-MJIB)、SIPS术、袖状胃切除加空回肠侧侧吻合术(JI-SG)、袖状胃切除加空肠旁路术(SG-JJB)等。虽然有文献对个别这类术式进行过描述,但未发现有综合描述这一类手术的综述,故笔者对这类新术式进行归纳,以期为临床实践提供一定助益。

    Abstract:

    Metabolic surgery is one of the effective ways to treat obesity and type 2 diabetes mellitus. Sleeve gastrectomy is widely accepted for its simple operation and exact effect. However, single sleeve gastrectomy offers lower weight loss and diabetes remission rates than gastric bypass procedure, and there are also some problems such as weight regain and diabetes remission rate decrease after operation. Therefore, in recent years, based on sleeve gastrectomy, a variety of additional procedures have been developed to improve the efficacy of sleeve gastrectomy, including single-anastomosis duodeno-ileal bypass with sleeve gastrectomy (SADI-S), single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy (SG-DJB), single-anastomosis duodenal-jejunal bypass with sleeve gastrectomy (SADJB-SG), sleeve gastrectomy with modified jejunoileal bypass (SG-MJIB), stomach intestinal pylorus sparing (SIPS), sleeve gastrectomy plus side-to-side jejunoileal anastomosis (JI-SG), sleeve gastrectomy with jejunal bypass (SG-JJB), etc. Although some articles have introduced some individual procedures, there is no comprehensive review concerning this category of procedures. Here, the authors summarize these new procedures, so as to provide recommendations for clinical practice.

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吴安健, 金露佳, 董光龙, 曹李, 徐晓, 吴安芹.袖状胃切除附加手术:肥胖与糖尿病治疗的新选择[J].中国普通外科杂志,2019,28(10):1288-1296.
DOI:10.7659/j. issn.1005-6947.2019.10.018

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  • 收稿日期:2019-03-29
  • 最后修改日期:2019-09-12
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  • 在线发布日期: 2019-10-25