• 主题
高级搜索  >
历史搜索 清空历史
首页> 外国专利> METHOD OF CHOOSING THE TACTICS OF SURGICAL TREATMENT OF PATIENTS WITH OBESITY ASSOCIATED WITH TYPE 2 DIABETES MELLITUS COMPLICATED BY SARCOPENIA

METHOD OF CHOOSING THE TACTICS OF SURGICAL TREATMENT OF PATIENTS WITH OBESITY ASSOCIATED WITH TYPE 2 DIABETES MELLITUS COMPLICATED BY SARCOPENIA

机译：选择肥胖患者手术治疗术后2型糖尿病患者的手术治疗策略的方法，SARCOPENIA复杂化

页面导航
  • 摘要
  • 著录项
  • 相似文献

摘要

FIELD: medicine; bariatric and metabolic surgery.;SUBSTANCE: at the stage of preoperative examination, the level of total protein and albumin in the blood of patients is examined, and the skeletal muscle mass index (hereinafter – SMMI), kg/m2, is determined by bioelectrical impedance analysis. If the indicators of total protein and albumin correspond to the norm for this age group, and the SMMI is 8.51-10.75 kg/m2 for men and 5.76-6.75 kg/m2 for women, Roux-en-Y gastric-jejuno-bypass is performed. A post-gastric tunnel is formed 1 cm below the level of the first branch of the gastroesophageal artery, into which a linear stitching device with a 6 cm long cassette is inserted, and the first stitching is performed. Then, with a 6 cm long cassette, the stomach is crossed longitudinally. A stomach stump with a volume of no more than 35 ml with an excess of the posterior wall is formed using a calibration probe 36 Fr. From the gastroenteroanastomosis, in the distal direction, 100 cm of the intestine alimentary loop is counted, and a Roux-en-Y manual single-row continuous anastomosis is applied between the biliary loop of the small intestine, which is 60 cm long, and the alimentary loop of the small intestine, which is 100 cm long. The intestine biliary loop is crossed between the gastroenteroanastomosis and the enteroenteroanastomosis using a linear stitching device. Both stumps of the intestine are immersed by a pouch suture with a PDS 2.0 thread. ;EFFECT: method allows one to adequately reduce excess body weight and get an incretin response to increase the production of endogenous insulin, avoid a deficiency in the assimilation of protein food and the progression of protein deficiency and sarcopenia, and improve the quality of life of patients by reducing the drug load and their social adaptation.;1 cl, 4 ex
机译：领域：医学;肥胖症和代谢手术。;物质：在术前检查的阶段，检查患者血液中总蛋白质和白蛋白的水平，骨骼肌质量指数（下文中 - SMMI），kg / m 2 < / sup>，由生物电阻抗分析决定。如果总蛋白质和白蛋白的指标对应于该龄岛组的标准，并且SMMI为男性为8.51-10.75kg / m 2 ，5.76-6.75 kg / m 2 女性，进行ROUX-ZH-Y胃JEJUNO-旁路。胃后隧道形成1cm以下的胃食管动脉的第一分支水平，插入具有6cm长盒的线性缝合装置，并且第一缝合进行。然后，用6厘米长的盒式磁带，胃纵向交叉。使用校准探针36 FR，形成具有过量的后壁的体积不超过35ml的胃部。从胃肠细胞术，在远端方向上，数为100厘米的肠道消化环，并且在小肠的胆道环之间施加Roux-Zh-y手动单排连续吻合，它们长60厘米小肠的消化环，长度为100厘米。使用线性缝合装置在胃肠细胞组件和肠内乳清露之间交叉肠道胆道。肠道的两个树桩用PDS 2.0螺纹的袋缝合浸没。 ;效果：方法允许人们充分减少体重过多，并达到增加内源性胰岛素的产生，避免蛋白质食物同化的缺陷和蛋白质缺乏和肌肉衰落的进展，并提高生活质量减少药物负荷及其社会适应患者。; 1 CL，4 EX

著录项

相似文献

  • 专利
  • 外文文献
  • 中文文献
获取专利

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号