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首页> 外文期刊>Clinical obesity. >Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons
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Marginal ulcers after one anastomosis (mini) gastric bypass: a survey of surgeons

机译：边际溃疡后吻合(小)胃旁路手术:外科医生的调查

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Many surgeons believe that one anastomosis (mini) gastric bypass (OAGB/MGB) is associated with a high marginal ulcer (MU) rate and that this is associated with complications in a significant number of patients. The purpose of this survey was to find out the participant-reported incidence of MU after OAGB/MGB and its complications. We also aimed to understand practices in this cohort concerning prophylaxis, diagnosis, treatment and management of complications. Bariatric surgeons who perform OAGB/MGB procedures were invited to participate in a confidential, online survey using Survey Monkey?. A total of 86 surgeons performing OAGB/MGB procedures participated in the survey. The total number of OAGB/MGB procedures reported was 27 672, revealing 622 MU, giving an MU rate of 2.24 %. Most participants (69/84, 82.4%) routinely use proton pump inhibitor (PPI) prophylaxis, but there was variation in drugs, dosages and duration. The majority (49/85, 57.6%) of participants 'always' use endoscopy for diagnosis, and 48.1% (39/81) 'always' perform an endoscopy to ensure healing. Most (49/55) perforated ulcers were treated with laparoscopic repair +/- omentoplasty +/- drainage. Most (55/59, 93.0%) of the bleeding ulcers were managed with PPI +/- blood transfusions +/- endoscopic intervention (23/59, 39.0%). Non-healing ulcers were treated by conversion to Roux-en-Y gastric bypass (RYGB) in 46.5% of patients (n = 20/43). The participants did not report any MU-related mortality but described a number of risk factors for it. This survey is the first detailed attempt to understand the incidence of MU following OAGB/MGB; its complications; and practices concerning prophylaxis, diagnosis, treatment and management of complications.
机译：许多外科医生认为一个吻合(小)胃旁路手术(OAGB / MGB)与一个关联边际溃疡(μ)率高,这是在一个重要的并发症有关患者的数量。是找出participant-reported吗OAGB / MGB及其后发病率μ并发症。关于预防实践在这个群,诊断、治疗和管理并发症。OAGB / MGB程序被邀请参加在一份机密,在线调查使用调查猴子?。OAGB / MGB程序参与了调查。OAGB总数/ MGB程序报告672年27岁,揭示622亩,给一个μ率的2.24%。经常使用质子泵抑制剂(PPI)预防,但药物的变化,剂量和持续时间。参与者的总是使用内窥镜检查诊断,48.1% (39/81)内窥镜检查,以确保愈合。溃疡穿孔与腹腔镜治疗修复+ / -网膜成形术+ / -排水。(55/59, 93.0%)出血的溃疡管理与PPI + / -输血+ / -内窥镜干预(23/59,39.0%)。一小块没有治愈溃疡被转换为治疗roux - en - y胃旁路手术(RYGB)在46.5%的病人(n = 20/43)。报告任何MU-related死亡率但描述的危险因素。首先详细试图理解μ后发病率OAGB / MGB;并发症;预防、诊断、治疗和管理的并发症。

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