[1]赵象文 关凯林 华伟 韩月峰 马育林 梁国仲.精准腹腔镜Roux-en-Y胃旁路术治疗肥胖型2型糖尿病的临床应用价值[J].中华肥胖与代谢病电子杂志,2015,1(03):142-145.[doi:10.3877//cma.j.issn.2095-9605.2015.03.007]
 Zhao Xiangwen,Guan Kailin,Hua Wei,et al.Clinical application value of precise laparoscopic Roux-en-Y gastric bypass for obese T2DM Zhao[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2015,1(03):142-145.[doi:10.3877//cma.j.issn.2095-9605.2015.03.007]
点击复制

精准腹腔镜Roux-en-Y胃旁路术治疗肥胖型2型糖尿病的临床应用价值()
分享到:

《中华肥胖与代谢病电子杂志》[ISSN:2095-9605/CN:11-9362]

卷:
第1卷
期数:
2015年03期
页码:
142-145
栏目:
临床研究
出版日期:
2015-09-30

文章信息/Info

Title:
Clinical application value of precise laparoscopic Roux-en-Y gastric bypass for obese T2DM Zhao
作者:
赵象文 关凯林 华伟 韩月峰 马育林 梁国仲
528400 中山,南方医科大学附属小榄医院普外科
Author(s):
Zhao Xiangwen Guan Kailin Hua Wei Han Yuefeng Ya Yulin Liang Guozhong.
Department of General Surgery, Xiaolan Hospital, Southern Medical University, Zhongshan 528400, China
关键词:
精准腹腔镜Roux-en-Y胃旁路术 糖尿病2型 肥胖症
Keywords:
Precise laparoscopic Roux-en-Y gastric bypass Diabetes mellitus Type 2 Obesity
DOI:
10.3877//cma.j.issn.2095-9605.2015.03.007
摘要:
目的 初步探讨精准腹腔镜Roux-en-Y胃旁路术(precise 1aparoscopic Roux-en-Y gastric bypass,PLRYGB)治疗肥胖型2型糖尿病的临床应用价值。方法 回顾性分析2014年1月至2015年2月在南方医科大学附属小榄医院普外科行PLRYGB治疗的4例肥胖型2型糖尿病患者的临床资料。所有患者均签署知情同意书,符合医学伦理学规定。其中男1例,女3例;年龄25~46岁。对比患者手术前后体质指数(body mass index,BMI)、空腹血糖(fasting plasma glucose,FPG)和糖化血红蛋白(glycosylated hemoglobin A1c,HbA1c)的变化情况。结果 4例患者均成功完成PLRYGB治疗,术后无严重并发症发生,术后3个月BMI、FPG和HbAlc水平均较术前有所下降。结论 PLRYGB治疗肥胖型2型糖尿病短期疗效满意。合适病例的选择、手术过程的优化、围手术期的细致管理及术后严格随访是手术成功的重要因素。
Abstract:
Objective To investigate the clinical application value of precise laparoscopic gastric bypass (PLRYGB) for obese T2DM. Methods Clinical data of 4 obese patients with T2DM undergoing PLRYGB in Xiaolan Hospital from January 2014 to February 2015 were studied retrospectively. The informed consents of all patients were obtained and the local ethical committee approval had been received. Among these 4 patients, 1 was male and 3 were females with the age ranging from 25 to 46 years old. Boby mass index, fasting plasma glucose and glycosylated hemoglobin A1c (HbA1c) before and after operations were compared. Results All 4 procedures were performed successfully with no severe complications. BMI, FPG and HbA1c levels at 3 months postoperatively were lower than those preoperatively. Conclusions PLRYGB has a good short-term curative effect on obese T2DM. Strict indication, optimization of the procedures, perioperative detailed management and postoperative strict follow-up are key factors of successful operations.

参考文献/References:

[1] Sugerman HJ, Wolfe LG, Sica DA, et al. Diabetes and hypertension in severe obesity and effects of gastric bypass-induced weight loss[J]. Ann Surg, 2003, 237(6):757-758.
[2] Buchwald H,Oien DM. Metabolic/Bariatric surgery worldwide 2011[J].Obes Surg,2013(23):427-436.
[3] Topart P, Becouarn G, Ritz P. Comparative early outcomes of three laparoscopic bariatric procedures: sleeve gastrectomy, Roux-en-Y gastric bypass, and biliopancreatic diversion with duodenal switch[J]. Surg Obes Relat Dis, 2012, 8(3):250-254.
[4] Hedberg J, Sundstr?m J, Sundbom M. Duodenal switch versus Roux-en-Y gastric bypass for morbid obesity: systematic review and meta-analysis of weight results, diabetes resolution and early complications in single-centre comparisons[J]. Obes Rev, 2014, 15(7):555-563.
[5] 刘金钢, 郑成竹, 王勇. 中国肥胖和2型糖尿病外科治疗指南(2014)[J]. 中国实用外科杂志,2014, 34(11):1005-1010.
[6] Spector D, Shikora S. Neuro-modulation and bariatric surgery for type 2 diabetes mellitus[J]. Int J Clin Pract Suppl, 2010(166):53-58.
[7] Gill RS, Sharma AM, Al-Adra DP, et al. The impact of bariatric surgery in patients with type-2 diabetes mellitus[J]. Curr Diabetes Rev, 2011, 7(3):185-189.
[8] 柳青婷, 崔明, 莫平, 等. 2型糖尿病手术治疗及作用机制的研究概况[J]. 西南国防医药, 2014, 24(3):338-340.
[9] 王存川,赵蕾.减重外科新概念-精准腹腔镜胃旁路术[J].中华胃肠外科杂志, 2014, 17(7):631-634.
[10] 朱晒红, 朱利勇, 杨湘武, 等. 多学科团队在肥胖和2型糖尿病外科治疗中的作用[J].中国实用外科杂志, 2014, 34(11):1044-1046.
[11] 高艳红, 高宏凯, 张新国, 等. 2型糖尿病患者胃转流手术后早期动态血糖监测[J]. 中国糖尿病杂志, 2010, 18(9):685-687.

相似文献/References:

[1]褚薛慧 单晓东 邱晨 邓玲 孙喜太.多学科诊疗模式在代谢手术中的应用价值[J].中华肥胖与代谢病电子杂志,2016,2(01):12.[doi:10.3877//cma.j.issn.2095-9605.2016.01.003]
 Chu Xuehui,Shan Xiaodong,Qiu chen,et al.Application value of multidisciplinary treatment mode in metabolic surgery[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2016,2(03):12.[doi:10.3877//cma.j.issn.2095-9605.2016.01.003]
[2]陈宏 雒洪志 周小雕 余元龙 梁义 王存川.腹腔镜Roux-en-Y 胃旁路术在治疗肥胖型2 型糖尿病中的应用价值[J].中华肥胖与代谢病电子杂志,2016,2(01):26.[doi:10.3877//cma.j.issn.2095-9605.2016.01.006]
 Chen Hong,Luo Hongzhi,Zhou Xiaodiao,et al.Application value of laparoscopic Roux-en-Y gastric bypass in treating obese type 2 diabetes mellitus[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2016,2(03):26.[doi:10.3877//cma.j.issn.2095-9605.2016.01.006]
[3]李延兵.双管齐下:肥胖型2型糖尿病的内科治疗进展[J].中华肥胖与代谢病电子杂志,2015,1(03):113.[doi:10.3877//cma.j.issn.2095-9605.2015.03.001]
[4]张涛涛 张向文 梁怀祝 赵国华.腹腔镜Roux-en-Y胃旁路术治疗肥胖型2型糖尿病的三年随访研究[J].中华肥胖与代谢病电子杂志,2015,1(03):128.[doi:10.3877//cma.j.issn.2095-9605.2015.03.004]
 Zhang Taotao,Zhang Xiangwen,Liang Huaizhu,et al.Three-year follow-up study of laparoscopic Roux-en-Y gastric bypass for treating obese type 2 diabetes mellitus[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2015,1(03):128.[doi:10.3877//cma.j.issn.2095-9605.2015.03.004]
[5]何辉 李开春 李浩然 金实 董擂 程雷 李克军.腹腔镜Roux-en-Y胃旁路术在治疗2型糖尿病中的应用价值[J].中华肥胖与代谢病电子杂志,2015,1(03):137.[doi:10.3877//cma.j.issn.2095-9605.2015.03.006]
 He Hui,Li Kaichun,Li Haoran,et al.Clinical application value of laparoscopic Roux-en-Y gastric bypass for the treatment of type 2 diabetes mellitus[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2015,1(03):137.[doi:10.3877//cma.j.issn.2095-9605.2015.03.006]
[6]杨建军 王兵 顾岩.重视肥胖与代谢病外科的卫生经济学管理[J].中华肥胖与代谢病电子杂志,2015,1(03):150.[doi:10.3877//cma.j.issn.2095-9605.2015.03.009]
[7]秦晓光 白日星 宋茂民 闫文貌 汪鑫.胃收缩力调节器治疗2型糖尿病的研究进展[J].中华肥胖与代谢病电子杂志,2015,1(03):157.[doi:10.3877//cma.j.issn.2095-9605.2015.03.011]
[8]殷骏 毛忠琦 徐露 朱政 陈昕 周晓俊 钱海鑫.袖状胃切除联合十二指肠-空肠转流术在非肥胖型2型糖尿病中的应用价值[J].中华肥胖与代谢病电子杂志,2015,1(01):16.[doi:10.3877/cma.j.issn.2095-9605.2015.01.005]
 Yin Jun,Mao Zhongqi,Xu Lu,et al.Application value of the clinical curative effect for laparoscopic sleeve gastrectomy with duodeno-jejunal bypass to treat non-obese type 2 diabetes[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2015,1(03):16.[doi:10.3877/cma.j.issn.2095-9605.2015.01.005]
[9]高羽 陈静 童卫东 李春穴 李凡 孙芳 周训美 阎振成 祝之明.腹腔镜Roux-en-Y胃旁路术在治疗2型糖尿病及相关合并症中的应用价值[J].中华肥胖与代谢病电子杂志,2015,1(01):30.[doi:10.3877/cma.j.issn.2095-9605.2015.01.008]
 Gao Yu,Chen Jing,Tong Weidong,et al.Application value of laparoscopic Roux-en-Y gastric bypass for type 2 diabetes mellitus and related diseases[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2015,1(03):30.[doi:10.3877/cma.j.issn.2095-9605.2015.01.008]
[10]韩辉 范国聚 高宏凯 杨晓莉 郭静 邹德勇 张丽萍 张野.腹腔镜胃旁路术后肥胖型2型糖尿病患者血清脂联素水平的变化[J].中华肥胖与代谢病电子杂志,2015,1(01):34.[doi:10.3877/cma.j.issn.2095-9605.2015.01.009]
 Han Hui,Fan Guoju,Gao Hongkai,et al.The analysis of changing about serum adiponectin in obese patients with type 2 diabetes after laparoscopic gastric bypass[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2015,1(03):34.[doi:10.3877/cma.j.issn.2095-9605.2015.01.009]

备注/Memo

备注/Memo:

通讯作者:赵象文,Email:xwzhao0820@163.com
更新日期/Last Update: 2015-11-30