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首页> 外文期刊>Surgical Endoscopy >Does antrum size matter in sleeve gastrectomy? A prospective randomized Study
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Does antrum size matter in sleeve gastrectomy? A prospective randomized Study

机译：套筒胃切除术中的antrum大小是否物质？ 预期随机研究

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Background Laparoscopic sleeve gastrectomy (LSG) is a safe and effective bariatric procedure in terms of excess weight loss. Nevertheless, controversies still exist on several technical and operative aspects of LSG. The aim of this study is to evaluate variations in anthropometric features in subjects with a LSG gastric resection starting from 2 cm or 6 cm from the pylorus. Secondary aim was the evaluation of differences in morbidity, food tolerance, and GERD incidence studied with upper endoscopy (UE) and GERD Health-Related Quality-of-Life score. Methods Patients were prospectively randomized into 2 groups: Group A (at 2 cm proximally to the pylorus) and Group B (at 6 cm proximally to the pylorus). All patients were followed-up at 3, 6, 12, and 24 months. UE was performed in all patients at 12 or 24 months. Results One hundred and fifty met the inclusion criteria and were enrolled in the study. The anthropometric features (BMI, %EWL, %TWL) resulted statistically different in the first 12 months (24.2 +/- 3.4 vs 27.5 +/- 4.3, 63.7 +/- 14.1 vs 59.6 +/- 12.5 and 42.9 +/- 7.4 vs 38.2 +/- 6.2), in favor of group A. At 24 months the differences disappeared (25.2 +/- 4.4 vs 26.2 +/- 3.3, 62.8 +/- 13.1 vs 61.6 +/- 10.5 and 41.9 +/- 7.4 vs 40.2 +/- 6.2). An increased GERD was found in both groups postoperatively with a higher incidence in group A at 6-month follow-up. Conclusion Performing the LSG with a radical antrectomy could improve weight loss at 12-month follow-up but expose to lower food tolerance and higher transitory GERD. The differences seem to be reduced to a 24-month.
机译：背景腹腔镜袖状胃切除术（LSG）是一种安全有效的减肥手术。然而，在LSG的几个技术和操作方面仍然存在争议。本研究的目的是评估从幽门2厘米或6厘米处开始进行LSG胃切除术的受试者的人体特征变化。第二个目的是通过上消化道内窥镜检查（UE）和GERD健康相关生活质量评分研究发病率、食物耐受性和GERD发病率的差异。方法将患者前瞻性随机分为2组：A组（幽门近端2cm处）和B组（幽门近端6cm处）。所有患者在3、6、12和24个月时进行随访。所有患者在12或24个月时进行UE检查。结果150例符合纳入标准，纳入研究。人体测量特征（BMI、%EWL、%TWL）在前12个月的结果有统计学差异（24.2+/-3.4 vs 27.5+/-4.3、63.7+/-14.1 vs 59.6+/-12.5和42.9+/-7.4 vs 38.2+/-6.2），有利于A组。在24个月时，差异消失（25.2+/-4.4 vs 26.2+/-3.3、62.8+/-13.1 vs 61.6+/-10.5和41.9+/-7.4 vs 40.2+/-6.2）。两组术后GERD均增加，随访6个月后，a组GERD的发生率更高。结论在12个月的随访中，LSG结合根治性上颌窦切除术可以改善体重减轻，但食物耐受性较低，短暂性GERD较高。差异似乎减少到24个月。

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