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首页> 外文期刊>Surgical Endoscopy >The impact of previous fundoplication on laparoscopic gastric bypass outcomes: a case-control evaluation
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The impact of previous fundoplication on laparoscopic gastric bypass outcomes: a case-control evaluation

机译：先前胃底折叠术对腹腔镜胃旁路手术结局的影响：病例对照评估

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Background Gastroesophageal reflux disease (GERD) is a common comorbid condition in morbidly obese gastric bypass candidates. Unfortunately, some patients who ultimately present for bariatric surgery have previously undergone Nissen fundoplication for GERD. Many surgeons consider previous fundoplication to be a relative contraindication to subsequent laparoscopic Roux-en-Y gastric bypass (LRYGB) due to increased technical complexity and risk. We sought to compare the perioperative and long-term outcomes of a cohort of patients who had first undergone fundoplication and ultimately chose to later pursue LRYGB for morbid obesity (revision) to matched control patients.
机译：背景胃食管反流病（GERD）是病态肥胖的胃旁路病患者的常见合并症。不幸的是，一些最终参加减肥手术的患者先前曾接受过GERD的Nissen胃底折叠术。由于增加的技术复杂性和风险，许多外科医生认为先前的胃底折叠术是随后腹腔镜Roux-en-Y胃旁路术（LRYGB）的相对禁忌症。我们试图比较一组最初经历胃底折叠术并最终选择后来针对病态肥胖（修订版）进行LRYGB治疗（匹配）的患者的围手术期和长期结果。

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