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Gastric surgery

机译：胃外科

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Significant advances in the role of gastric surgery in the management of disease in the past year have focused on three broad areas: morbid obesity, gastric cancer, and peptic ulcer disease. Although vertical banded gastroplasty and Roux-en-Y gastric bypass are the two procedures most commonly used in the United States to induce weight loss in the morbidly obese patient, long-term follow-up continues to support the durability of the gastric bypass in maintaining a sustainable outcome with a minimum of complications. It is not surprising, therefore, that increasing interest has accrued in simplifying this operation and decreasing potential complications even further by employing laparoscopic technology. In the area of gastric cancer, several reports have provided important new information regarding its pathogenesis, factors influencing long-term survival, and strategies for management when diagnosed early. Finally, in patients developing the complications of peptic ulcer disease (eg, obstruction and perforation), conservative management has been emphasized over more radical traditional approaches.
机译：在过去的一年中，胃外科手术在疾病管理中的重要进展集中在三个方面：病态肥胖，胃癌和消化性溃疡疾病。尽管垂直条带化胃成形术和Roux-en-Y胃搭桥术是在美国最常用于诱发病态肥胖患者体重减轻的两种方法，但长期随访仍继续支持胃搭桥术在维持健康方面的持久性具有最少并发症的可持续成果。因此，毫不奇怪的是，通过采用腹腔镜技术，人们对简化操作和减少潜在并发症的兴趣日益增加。在胃癌领域，一些报告提供了有关其发病机理，影响长期生存的因素以及及早诊断的治疗策略的重要新信息。最后，对于患有消化性溃疡疾病（例如阻塞和穿孔）并发症的患者，保守治疗已被强调为较激进的传统治疗方法。

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