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首页> 外文期刊>Surgical Endoscopy >Symptomatic gallstones after sleeve gastrectomy.
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Symptomatic gallstones after sleeve gastrectomy.

机译：袖胃切除术后有症状的胆结石。

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BACKGROUND: Cholelithiasis is a common complication after bariatric surgery. Pure restrictive procedures such as sleeve gastrectomy and gastric banding theoretically should result in less gallstone formation because the food continues to follow the normal gastrointestinal transit, maintaining the enteric-endocrine reflex intact. To the authors' knowledge, the literature has no studies that analyze the incidence of gallstone formation after sleeve gastrectomy. This study aimed to compare the rates of symptomatic gallstones between laparoscopic Roux-en-Y gastric bypass (RYGBP) and sleeve gastrectomy (SG). METHODS: A retrospective chart review of patients who underwent laparoscopic RYGBP and SG between 2004 and 2006 was performed. The patients with previous cholecystectomy, known gallstones with or without concomitant cholecystectomy, and previous weight-reduction operations were excluded from the analysis. The outcome measures were the numbers of patients who had experienced symptomatic and complicated gallstones. Using Cox regression analysis, comparisons was made between the patients with laparoscopic RYGBP (group A) and those with laparoscopic SG (group B). RESULTS: Groups A excluded 174 (26%) of 670 patients, and group B excluded 27 (34.2%) of 79 patients. The patients in group A had a significantly higher preoperative body mass index (BMI) than those in group B. Additionally, more group A than group B patients had a BMI exceeding 45 and more than a 25% loss of original weight. No significant difference in the development of symptomatic (8.7% vs. 3.8%; p = 0.296) or complicated (1.8% vs. 1.9%; p = 0.956) gallstones was noted between the two groups CONCLUSIONS: There was no significant difference in symptomatic or complicated gallstone disease between the patients treated with laparoscopic SG and those treated with laparoscopic RYGBP. Routine prophylactic cholecystectomy should not be recommended for weight reduction during laparoscopic SG.
机译：背景：胆石症是减肥手术后的常见并发症。从理论上讲，单纯的限制性手术（例如，套管胃切除术和胃束带术）应减少胆结石的形成，因为食物继续遵循正常的胃肠道运输，从而保持肠内分泌反射完好无损。据作者所知，没有文献分析袖式胃切除术后胆结石形成的发生率。这项研究旨在比较腹腔镜Roux-en-Y胃搭桥术（RYGBP）和袖式胃切除术（SG）之间的有症状胆结石发生率。方法：对2004年至2006年接受腹腔镜手术的RYGBP和SG患者进行回顾性图表回顾。该分析排除了先前有胆囊切除术，已知胆结石伴或不伴有胆囊切除术以及先前的减重手术的患者。结局指标是出现症状性和复杂性胆结石的患者人数。使用Cox回归分析，对腹腔镜RYGBP患者（A组）和腹腔镜SG患者（B组）进行了比较。结果：A组排除了670名患者中的174名（26％），B组排除了79名患者中的27名（34.2％）。 A组患者的术前体重指数（BMI）明显高于B组。此外，BMI超过45并且体重减轻25％以上的A组比B组患者多。两组之间有症状的胆结石发生率（8.7％vs. 3.8％; p = 0.296）或复杂的（1.8％vs. 1.9％; p = 0.956）无显着差异。结论：有症状的胆囊结石无明显差异腹腔镜SG治疗的患者与腹腔镜RYGBP治疗的患者之间存在复杂性或复杂性胆结石疾病。不建议在腹腔镜SG术中常规行预防性胆囊切除术以减轻体重。

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