减重手术术后胃食管反流病的研究进展
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摘要
减重手术做为目前治疗肥胖症有效术式,其安全和持久性得到了广泛的认可。其中腹腔镜袖状胃切除术(LSG)由于操作简单、不改变胃肠道结构、具有安全性高且疗效明显的优点,近年来做为主要的减重术式得到迅速普及应用。但肥胖症患者在行LSG术后,胃食管反流病发病率、疾病的转归、术中是否加做抗反流手术目前尚无统一意见。
Bariatric surgery is an effective method for the treatment of obesity at present,and its safety and durability have been widely recognized. Laparoscopic sleeve gastrectomy(LSG) has been widely applied in recent years,due to simple operation,no change of gastrointestinal structure,high safety and obvious curative effect. However,there is no consensus on the incidence of gastroesophageal reflux disease,the prognosis of the disease and whether to add anti reflux operation in obese patients after LSG.
Bariatric surgery is an effective method for the treatment of obesity at present,and its safety and durability have been widely recognized. Laparoscopic sleeve gastrectomy(LSG) has been widely applied in recent years,due to simple operation,no change of gastrointestinal structure,high safety and obvious curative effect. However,there is no consensus on the incidence of gastroesophageal reflux disease,the prognosis of the disease and whether to add anti reflux operation in obese patients after LSG.
引文
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2 Jung HK,Hong SJ,Jo YJ,et al. Updated guidelines 2012 for gastroesophageal reflux disease[J]. Korean J Gastroenterol,2012,60(4):195-218.
3 Liu X,Li M,Xu D,et al. Prevalence and clinical importance of gastroesophageal reflux in Chinese patients with systemic sclerosis[J]. Clin Exp Rheumatol,2012,30(2 Suppl 71):S60-S66.
4 Vakil N,van Zanten SV,Kahrilas P,et al.[The Montreal definition and classification of gastroesophageal reflux disease:a global evidence-based consensus paper][J]. Z Gastroenterol,2007,45(11):1125-1140.
5 Bozymski EM. Pathophysiology and diagnosis of gastroesophageal reflux disease[J]. Am J Hospl Pharm,1993,50(4 Suppl 1):S4-S6.
6 孙晓红.胃食管反流病的病理生理机制[J].中华内科杂志,2011,50(8):630-632.
7 Hoshino M,Sundaram A,Mittal SK. Role of the lower esophageal sphincter on acid exposure revisited with high-resolution manometry[J]. J Am Coll Surg,2011,213(6):743-750.
8 Beaumont H,Bennink RJ,de Jong J,et al. The position of the acid pocket as a major risk factor for acidic reflux in healthy subjects and patients with GORD[J]. Gut,2010,59(4):441-451.
9 Elserag HB,Graham DY,Satia JA,et al. Obesity is an independent risk factor for GERD symptoms and erosive esophagitis[J]. Am J Gastroenterol,2005,100(6):1243-1250.
10 Nilsson M,Johnsen R,Ye W,et al. Obesity and estrogen as risk factors for gastroesophageal reflux symptoms[J]. JAMA,2003,290(1):66-72.
11 夏丽琼,张靖,朱金水.中国人群肥胖与胃食管反流病相关性的meta分析[J].武警医学,2014,25(10):977-980.
12 Singh M,Lee J,Gupta N,et al. Weight loss can lead to resolution of gastroesophageal reflux disease symptoms:A prospective intervention trial[J]. Obesity,2013,2l(2):284-290.
13 Daes J,Jimenez ME,Said N,et al. Laparoscopic sleeve gastrectomy:symptoms of gastroesophageal reflux can be reduced by changes in surgical technique[J]. Obes Surg,2012,22(12):1874-1879.
14 Stenard F,Iannelli A. Laparoscopic sleeve gastrectomy and gastroesophageal reflux[J]. World J Gastroenterol,2015,21(36):10348-10357.
15 Pallati PK,Shaligram A,Shostrom VK,et al. Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures:review of the Bariatric Outcomes Longitudinal Database[J]. Surg Obes Relat Dis,2014,10(3):502-507.
16 Rawlins L,Rawlins MP,Brown CC,et al. Sleeve gastrectomy:5-year outcomes of a single institution[J]. Surg Obes Relat Dis,2013,9(1):21-25.
17 Dupree CE,Blair K,Steele SR,et al. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease:a national analysis[J]. JAMA Surg,2014,149(4):328-334.
18 Elazary R,Phillips EH,Cunneen S,et al. Comments on"increase in gastroesophageal reflux disease symptoms and erosive esophagitis 1year after laparoscopic sleeve gastrectomy among obese adults"[J].Surg Endosc,2013,27(10):3935-3936.
19 Catheline JM,Fysekidis M,Bachner I,et al. Five-year results of sleeve gastrectomy[J]. J Visc Surg,2013,150(5):307-312.
20 Himpens J,Dapri G,Cadière GB. A Prospective Randomized Study Between Laparoscopic Gastric Banding and Laparoscopic Isolated Sleeve Gastrectomy:Results after 1 and 3 Years[J]. Obes Surg,2006,16(11):1450-1456.
21 Daes J,Jimenez ME,Said N,et al. Laparoscopic sleeve gastrectomy:symptoms of gastroesophageal reflux can be reduced by changes in surgical technique[J]. Obes Surg,2012,22(12):1874-1879.
22 Sucandy I,Chrestiana D,Bonanni F,et al. Gastroesophageal reflux symptoms after laparoscopic sleeve gastrectomy for morbid obesity.the importance of preoperative evaluation and selection[J]. N Am J Medl Sci,2015,7(5):189-193.
23 Gibson SC,Le Page PA,Taylor CJ. Laparoscopic sleeve gastrectomy:review of 500 cases in single surgeon Australian practice[J]. ANZ J Surg,2015,85(9):673-677.
24 Cheung D,Switzer NJ,Gill RS,et al. Revisional bariatric surgery following failed primary laparoscopic sleeve gastrectomy:a systematic review[J]. Obes Surg,2014,24(10):1757-1763.
25 高炳霞,段丽萍,王琨,等.体质量指数与食管裂孔疝及反流性食管炎关系的研究[J].中华消化内镜杂志,2011,28(6):316-319.
26 Pallati PK,Shaligram A,Shostrom VK,et al. Improvement in gastroesophageal reflux disease symptoms after various bariatricprocedures:review of the Bariatric Outcomes Longitudinal Database[J]. Surg Obes Relat Dis,2014,10(3):502-507.
27 Soricelli E,Iossa A,Casella G,et al. Sleeve gastrectomy and crural repair in obese patients with gastroesophageal reflux disease and/or hiatal hernia[J]. Surg Obes Relat Dis. 2013;9(3):356-361.
28 Santonicola A,Angrisani L,Iovino P,et al. Reply to"Comment on:The effect of laparoscopic sleeve gastrectomy with or without hiatal hernia repair on gastroesophageal reflux disease in obese patients"[J]. Surg Obes Relat Dis,2014,10(2):371-372.
29 Alexander JW,Martin Hawver LR,Goodman HR. Banded sleeve gastrectomy--initial experience[J]. Obes Surg,2009,19(11):1591-1596.
30 Fedenko V,Evdoshenko V. Antireflux sleeve gastroplasty:description of a novel technique[J]. Obes Surg,2007,17(7):996.
31 Hawasli A,Reyes M,Hare B,et al. Can morbidly obese patients with reflux be offered laparoscopic sleeve gastrectomy? A case report of 40patients[J]. Am J Surg,2016,211(3):571-576.
32 姚琪远,花荣,丁锐,等.伴有病态肥胖的胃食管反流病术后2年疗效分析[J/CD].中华胃食管反流病电子杂志,2015,2(1):10-13.
2 Jung HK,Hong SJ,Jo YJ,et al. Updated guidelines 2012 for gastroesophageal reflux disease[J]. Korean J Gastroenterol,2012,60(4):195-218.
3 Liu X,Li M,Xu D,et al. Prevalence and clinical importance of gastroesophageal reflux in Chinese patients with systemic sclerosis[J]. Clin Exp Rheumatol,2012,30(2 Suppl 71):S60-S66.
4 Vakil N,van Zanten SV,Kahrilas P,et al.[The Montreal definition and classification of gastroesophageal reflux disease:a global evidence-based consensus paper][J]. Z Gastroenterol,2007,45(11):1125-1140.
5 Bozymski EM. Pathophysiology and diagnosis of gastroesophageal reflux disease[J]. Am J Hospl Pharm,1993,50(4 Suppl 1):S4-S6.
6 孙晓红.胃食管反流病的病理生理机制[J].中华内科杂志,2011,50(8):630-632.
7 Hoshino M,Sundaram A,Mittal SK. Role of the lower esophageal sphincter on acid exposure revisited with high-resolution manometry[J]. J Am Coll Surg,2011,213(6):743-750.
8 Beaumont H,Bennink RJ,de Jong J,et al. The position of the acid pocket as a major risk factor for acidic reflux in healthy subjects and patients with GORD[J]. Gut,2010,59(4):441-451.
9 Elserag HB,Graham DY,Satia JA,et al. Obesity is an independent risk factor for GERD symptoms and erosive esophagitis[J]. Am J Gastroenterol,2005,100(6):1243-1250.
10 Nilsson M,Johnsen R,Ye W,et al. Obesity and estrogen as risk factors for gastroesophageal reflux symptoms[J]. JAMA,2003,290(1):66-72.
11 夏丽琼,张靖,朱金水.中国人群肥胖与胃食管反流病相关性的meta分析[J].武警医学,2014,25(10):977-980.
12 Singh M,Lee J,Gupta N,et al. Weight loss can lead to resolution of gastroesophageal reflux disease symptoms:A prospective intervention trial[J]. Obesity,2013,2l(2):284-290.
13 Daes J,Jimenez ME,Said N,et al. Laparoscopic sleeve gastrectomy:symptoms of gastroesophageal reflux can be reduced by changes in surgical technique[J]. Obes Surg,2012,22(12):1874-1879.
14 Stenard F,Iannelli A. Laparoscopic sleeve gastrectomy and gastroesophageal reflux[J]. World J Gastroenterol,2015,21(36):10348-10357.
15 Pallati PK,Shaligram A,Shostrom VK,et al. Improvement in gastroesophageal reflux disease symptoms after various bariatric procedures:review of the Bariatric Outcomes Longitudinal Database[J]. Surg Obes Relat Dis,2014,10(3):502-507.
16 Rawlins L,Rawlins MP,Brown CC,et al. Sleeve gastrectomy:5-year outcomes of a single institution[J]. Surg Obes Relat Dis,2013,9(1):21-25.
17 Dupree CE,Blair K,Steele SR,et al. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease:a national analysis[J]. JAMA Surg,2014,149(4):328-334.
18 Elazary R,Phillips EH,Cunneen S,et al. Comments on"increase in gastroesophageal reflux disease symptoms and erosive esophagitis 1year after laparoscopic sleeve gastrectomy among obese adults"[J].Surg Endosc,2013,27(10):3935-3936.
19 Catheline JM,Fysekidis M,Bachner I,et al. Five-year results of sleeve gastrectomy[J]. J Visc Surg,2013,150(5):307-312.
20 Himpens J,Dapri G,Cadière GB. A Prospective Randomized Study Between Laparoscopic Gastric Banding and Laparoscopic Isolated Sleeve Gastrectomy:Results after 1 and 3 Years[J]. Obes Surg,2006,16(11):1450-1456.
21 Daes J,Jimenez ME,Said N,et al. Laparoscopic sleeve gastrectomy:symptoms of gastroesophageal reflux can be reduced by changes in surgical technique[J]. Obes Surg,2012,22(12):1874-1879.
22 Sucandy I,Chrestiana D,Bonanni F,et al. Gastroesophageal reflux symptoms after laparoscopic sleeve gastrectomy for morbid obesity.the importance of preoperative evaluation and selection[J]. N Am J Medl Sci,2015,7(5):189-193.
23 Gibson SC,Le Page PA,Taylor CJ. Laparoscopic sleeve gastrectomy:review of 500 cases in single surgeon Australian practice[J]. ANZ J Surg,2015,85(9):673-677.
24 Cheung D,Switzer NJ,Gill RS,et al. Revisional bariatric surgery following failed primary laparoscopic sleeve gastrectomy:a systematic review[J]. Obes Surg,2014,24(10):1757-1763.
25 高炳霞,段丽萍,王琨,等.体质量指数与食管裂孔疝及反流性食管炎关系的研究[J].中华消化内镜杂志,2011,28(6):316-319.
26 Pallati PK,Shaligram A,Shostrom VK,et al. Improvement in gastroesophageal reflux disease symptoms after various bariatricprocedures:review of the Bariatric Outcomes Longitudinal Database[J]. Surg Obes Relat Dis,2014,10(3):502-507.
27 Soricelli E,Iossa A,Casella G,et al. Sleeve gastrectomy and crural repair in obese patients with gastroesophageal reflux disease and/or hiatal hernia[J]. Surg Obes Relat Dis. 2013;9(3):356-361.
28 Santonicola A,Angrisani L,Iovino P,et al. Reply to"Comment on:The effect of laparoscopic sleeve gastrectomy with or without hiatal hernia repair on gastroesophageal reflux disease in obese patients"[J]. Surg Obes Relat Dis,2014,10(2):371-372.
29 Alexander JW,Martin Hawver LR,Goodman HR. Banded sleeve gastrectomy--initial experience[J]. Obes Surg,2009,19(11):1591-1596.
30 Fedenko V,Evdoshenko V. Antireflux sleeve gastroplasty:description of a novel technique[J]. Obes Surg,2007,17(7):996.
31 Hawasli A,Reyes M,Hare B,et al. Can morbidly obese patients with reflux be offered laparoscopic sleeve gastrectomy? A case report of 40patients[J]. Am J Surg,2016,211(3):571-576.
32 姚琪远,花荣,丁锐,等.伴有病态肥胖的胃食管反流病术后2年疗效分析[J/CD].中华胃食管反流病电子杂志,2015,2(1):10-13.