不规范胃旁路术后修正手术:附1例报告

发布时间：2018-05-07 00:31

本文选题：减重手术 + 型糖尿病　；参考：《南方医科大学学报》2017年07期

【摘要】：减重手术是肥胖症伴或不伴2型糖尿病及其并发症最有效的治疗方法,近年随着国内糖尿病发生率不断增加,开展减重手术的医院及手术例数明显增多,但在手术规范化、手术质量控制及病人的术后管理等方面存在较多问题,导致术后减重、降糖失败或出现严重并发症,最终需要修正手术来扭转不利局面。近期我科翻修一例不规范胃旁路术病人,现就本例患者首次减重失败原因、国内减重手术现状及修正性减重手术进行分析,明确修正性减重手术在临床中的必要性和掌握其术式选择及指征的重要性。
[Abstract]:Weight loss surgery is the most effective treatment for obesity with or without type 2 diabetes mellitus and its complications. In recent years, with the increasing incidence of diabetes in China, the number of hospitals and patients undergoing weight-loss surgery has increased obviously, but the operation is standardized. There are many problems in quality control of operation and postoperative management of patients, which lead to postoperative weight loss, failure of lowering blood sugar or serious complications. Finally, it is necessary to correct the operation to reverse the adverse situation. We have recently revised a patient with nonstandard gastric bypass surgery. The reasons for the failure of this patient's first weight loss, the present situation of weight-loss surgery in China and the modified weight-loss operation are analyzed. To make clear the necessity of modified weight-loss surgery in clinical practice and the importance of mastering the choice and indication of operation methods.
【作者单位】：第三军医大学大坪医院野战外科研究所胃结直肠外科;贵阳市第四人民医院呼吸内科;
【分类号】：R587.1;R589.2;R656.6

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