[1]张若蹊 刘殿刚 张超 高翔 李非.袖状胃切除术和Roux-en-Y 胃旁路术治疗 肥胖症疗效的Meta 分析[J].中华肥胖与代谢病电子杂志,2017,(03):143-149.[doi:10.3877/cma.j.issn.2095-9605.2017.03.007 ]
 Zhang Ruoxi,Liu Diangang,Zhang Chao,et al.The efficiency of obesity treated by sleeve gastrectomy or Roux-en-Y gastric bypass : a Meta Analysis[J].Chinese Journal of Obesity and Metabolic Disease (Electronic Edition),2017,(03):143-149.[doi:10.3877/cma.j.issn.2095-9605.2017.03.007 ]
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袖状胃切除术和Roux-en-Y 胃旁路术治疗 肥胖症疗效的Meta 分析()
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《中华肥胖与代谢病电子杂志》[ISSN:2095-9605/CN:11-9362]

卷:
期数:
2017年03期
页码:
143-149
栏目:
循证医学
出版日期:
2017-08-30

文章信息/Info

Title:
The efficiency of obesity treated by sleeve gastrectomy or Roux-en-Y gastric bypass : a Meta Analysis
作者:
张若蹊 刘殿刚 张超 高翔 李非
作者单位:100053 北京,首都医科大学宣武医院普通外科
Author(s):
Zhang Ruoxi Liu Diangang Zhang Chao Gao Xiang Li Fei.
Department of General Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
关键词:
袖状胃切除术 胃旁路术 肥胖症 Meta分析
Keywords:
SG RYGB Obesity Meta analysis
DOI:
10.3877/cma.j.issn.2095-9605.2017.03.007
摘要:
目的 探讨袖状胃切除术(SG)与Roux-en-Y胃旁路术(RYGB)对肥胖症的疗效 以及手术并发症发生率和围手术期死亡率。方法 以“obesity surgery”“bariatric surgery”“sleeve gastrectomy”“ Roux-en-Y gastric bypass”“ obesity”“减重手术”“代谢手术”“Roux-en-Y胃旁路术”“袖状 胃切除术”“肥胖”等为检索词分别检索Pubmed、EMBASE、Cochrane Library、CNKI、万方等中英文数 据库。最终共纳入9篇病例对照研究进行Meta分析。结果 共纳入病例539例,袖状胃切除术244例, Roux-en-Y胃旁路术295例,袖状胃切除术在体重变化方面差于Roux-en-Y胃旁路术,而在体质量指数、多 余体重降低百分比、并发症发生率、糖化血红蛋白变化值、2型糖尿病缓解率方面两种手术术式效果相 当,无围手术期死亡报道。结论 袖状胃切除术与Roux-en-Y胃旁路术治疗肥胖症的效果相当、手术并 发症及围手术期死亡率无明显差异,均可作为治疗肥胖症的优选术式。
Abstract:
Objective To analyze the effect, the complication rate and the preoperative mobility of sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) for the treatment of obesity. Methods Electronic literature search was performed on Pubmed, EMBASE, Cochrane Library, CNKI, Wangfang database using“ obesity surgery”“ bariatric surgery”“ sleeve gastrectomy”“ Roux-en-Y gastric bypass” for Chinese and English studies. Finally9 studies were included. Results Among the 9 studies, a total of 539 cases were reported, including 244 patients in the SG group, 295 patients in the RYGB group. Meta analysis showed RYGB had a significant advantage in the aspect of body weight. But no significant difference was found in the BMI, %EWL, HbA1c, the incidence of complications, the improvement of T2DM, and there is no mobility in perioperative time. Conclusions Sleeve gastrectomy and Roux-en-Y gastric bypass could be considered as great choices for treating obesity.

参考文献/References:

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备注/Memo

备注/Memo:

基金项目:新疆维吾尔族肥胖症患者尿液代谢轮廓分析联合基金(2016D01C117)
通信作者:艾克拜尔?艾力,Email:akbarali@sina.cn
更新日期/Last Update: 2017-08-30