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中华胃食管反流病电子杂志

中华胃食管反流病电子杂志 ›› 2019, Vol. 06 ›› Issue (03) : 161 -165. doi: 10.3877/cma.j.issn.2095-8765.2019.03.011

所属专题： 文献；

综述

减重手术类型与胃食管反流病发病相关性的研究进展
皮尔地瓦斯·麦麦提玉素甫1, 艾克拜尔·艾力2, 买买提·依斯热依力2, 克力木·阿不都热依木3,†()   
  1. 1. 830054　乌鲁木齐，新疆医科大学研究生学院；830001　乌鲁木齐，新疆维吾尔自治区人民医院微创，疝和腹壁外科
    2. 830001　乌鲁木齐，新疆维吾尔自治区人民医院微创，疝和腹壁外科；830001　乌鲁木齐，新疆维吾尔自治区人民医院普外微创研究所
    3. 830054　乌鲁木齐，新疆医科大学研究生学院；830001　乌鲁木齐，新疆维吾尔自治区人民医院微创，疝和腹壁外科；830001　乌鲁木齐，新疆维吾尔自治区人民医院普外微创研究所
  • 收稿日期:2019-02-05 出版日期:2019-08-15
  • 通信作者: 克力木·阿不都热依木
  • 基金资助:
    新疆维吾尔自治区自然科学基金(2018D01C134); 新疆维吾尔自治区引进高层次人才天池百人计划项目(201939)

The current research on the relationship between different types of bariatric surgery and GERD

Pierdiwasi·Maimaitiyusupu1, Aikebaier·Aili2, Maimaiti·Yisireyili2, Kelimu·Abudureyimu3,†()   

  1. 1. Xinjiang Medical University Graduate School of Medicine, Urumqi, 830054, China; Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, 830001, China
    2. Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, 830001, China; Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, 830001, China
    3. Xinjiang Medical University Graduate School of Medicine, Urumqi, 830054, China; Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, 830001, China; Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, 830001, China
  • Received:2019-02-05 Published:2019-08-15
  • Corresponding author: Kelimu·Abudureyimu
  • About author:
    Corresponding author: Kelimu·Abudureyimu, Email:
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皮尔地瓦斯·麦麦提玉素甫, 艾克拜尔·艾力, 买买提·依斯热依力, 克力木·阿不都热依木. 减重手术类型与胃食管反流病发病相关性的研究进展[J/OL]. 中华胃食管反流病电子杂志, 2019, 06(03): 161-165.

Pierdiwasi·Maimaitiyusupu, Aikebaier·Aili, Maimaiti·Yisireyili, Kelimu·Abudureyimu. The current research on the relationship between different types of bariatric surgery and GERD[J/OL]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2019, 06(03): 161-165.

肥胖是引起胃食管反流病（GERD）发生发展的独立危险因素之一，肥胖和GERD的发病率近年来同步增长，而且肥胖患者绝大多数合并GERD。腹腔镜胃袖状切除术（LSG）和腹腔镜Roux-en-Y胃旁路术（RYGB）是目前国内外最常用的减重术式。然而，两者在治疗合并GERD的肥胖患者长期抗返流疗效方面存在争议。腹腔镜胃底折叠术联合胃袖状切除术（LFDSG）是一种新型手术技术，能将胃底折叠术的抗反流作用和胃袖状切除术的减重作用联合在一起，以达到两种手术扬长避短的目的，有望为临床上治疗肥胖合并GERD或食管裂孔疝的患者提供新型抗反流减重手术。本文总结现有的主要的减重术式（LSG、RYBG）以及新型抗反流减重（LFDSG）手术在治疗肥胖合并GERD的疗效方面的研究进展以及工作经验，为外科医生提供借鉴。

关键词: 肥胖症, 胃食管反流病, 新型抗反流减重手术

Obesity has become one of the most serious diseases that affecting peoples health in worldwide. Bariatric surgery nowadays thought one of the most curative method for obesity and related complications. Obesity also concidered to a important risk factor for occurrence of gastroesophageal reflux disease (GERD). The incidence of obesity and GERD is increasing in a parallel way, and the majority of those obese patients also suffering GERD. Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (RYGB) are the most accepted methods in world wide . However, the efficacy of the two methods in treating patients with obesity and GERD is controversial. Laparoscopic fundoplication with sleeve gastrectomy (LFDSG) is a new surgical technique. It may combine the anti-reflux effect of fundoplication with the weight-loss effect of sleeve gastrectomy in order to achieve the purpose of enhancing the advantages and avoiding the disadvantages of the two operations. LFDSG hopefully could provide a new anti-reflux and weight-loss for the treatment of obesity with GERD or hiatal hernia. This article summarizes the research progress and experience of the main weight-loss methods (LSG, RYBG) and the new anti-reflux weight-loss (LFDSG) in the treatment of patients whom with obesity and GERD, and provides a nes insight for surgeons.

Key words: obesity, gastroesophageal reflux disease, new anti-reflux bariatric surgery
1
Martin KA, Mani MV, Mani A. New targets to treat obesity and the metabolic syndrome[J]. Eur J Pharmacol. 2015 Sep 15; 763(Pt A): 64-74.
2
刘子琪, 刘爱萍, 王培玉. 中国糖尿病患病率的流行病学调查研究状况[J]. 中国老年多器官疾病杂志. 2015, 14 (7): 547-550.
3
Yang, SH, Dou KF, Song WJ. Prevalence of diabetes among men and women in China[J]. N Engl J Med. 2010 Jun 24; 362 (25): 2425-6.
4
Eckel RH1, Alberti KG, Grundy SM, Zimmet PZ. The metabolic syndrome [J]. Lancet. 2010 Jan 16; 375(9710): 181-3.
5
Di C M, Bentham J, Stevens G A, et al. Trends in adult body-mass index in 200 countries from 1975 to 2014: a pooled analysis of 1698 population-based measurement studies with 19.2 million participants[J]. Lancet, 2016, 387 (10026): 1377.
6
中国超重肥胖医学营养治疗专家共识编写委员会. 中国超重/肥胖医学营养治疗专家共识[J]. 糖尿病天地: 临床, 2016, 8 (9): 525-540.
7
Palikhe, G, Gupta R, Behera BN, et al. Efficacy of laparoscopic sleeve gastrectomy and intensive medical management in obese patients with type 2 diabetes mellitus[J]. Obes Surg. 2014 Apr; 24 (4): 529-35.
8
蔡树权. 腹腔镜袖状胃切除术(LSG)对肥胖性2型糖尿病(T2DM)的治疗效果及手术安全性[J]. 糖尿病新世界. 2017, 20 (2): 31-32.
9
Kohli R, Stefater MA, Inge TH. Molecular insights from bariatric surgery[J]. Rev Endocr Metab Disord. 2011 Sep; 12 (3): 211-7.
10
艾克拜尔·艾力,克力木·阿不都热依木,张成,等. 腹腔镜胃底折叠抗反流术联合胃袖状切除术动物实验研究[J]. 中国实用外科杂志,2015 (2): 211-213
11
Magouliotis, DE, Tasiopoulou VS2, Sioka E,et al. Robotic versus Laparoscopic Sleeve Gastrec tomy for Morbid Obesity: a Systematic Review and Meta-analysis[J]. Obes Surg. 2017 Jan; 27 (1): 245-253.
12
Novikov AA, Afaneh C, Saumoy M, et al. Endoscopic Sleeve Gastroplasty, Laparoscopic Slee ve Gastrectomy, and Laparoscopic Band for Weight Loss: How Do They Compare? J Gastrointest Surg [J]. 2018 Feb; 22 (2): 267-273.
13
Dimitrokallis N, Alexandrou A1, Schizas D,et al.Single-Incision Laparoscopic Sleeve Gastrec tomy: Review and a Critical Appraisal[J]. J Laparoendosc Adv Surg Tech A. 2017 Mar; 27 (3): 217-226
14
Smith CR, Gardner JT, Vaughn LH, et al. Nissen Fundoplication-Preserving Laparoscopic Sleeve Gastrectomy[J]. Am Surg. 2019 Feb 1; 85 (2): 173-176.
15
Cecily ED, Kelly B, Scott RS, et al. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease Anational analysis[J]. JAMA Surg, 2014, 149 (4): 328-334.
16
Dupree C E, Blair K, Steele S R, et al. Laparoscopic sleeve gastrectomy in patients with preexisting gastroesophageal reflux disease: a national analysis[J]. Jama Surgery, 2014, 149 (4): 328.
17
Tai C, Huang C, Lee Y, et al. Increase in　gastroesophageal reflux disease symptoms and erosive　esophagitis 1 year after laparoscopic sleeve gastrectomy among　obese adults[J]. Surg Endosc, 2013, 27: 1260-1266.
18
Kular K, Manchanda N, Rutledge R. Analysis of the five year　outcomes of sleeve gastrectomy and mini gastric bypass: a　report from the Indian sub-continent[J]. Obes Surg, 2014, 24: 1724-1728.
19
Popescu AL, Ioniţa-Radu F, Jinga M, et al. Laparoscopic sleeve gastrectomyand gastroesopha geal reflux[J]. Rom J Intern Med. 2018 Dec 1; 56 (4): 227-232.
20
Hawasli A, Sadoun M, Meguid A, et al. Laparoscopic placement of the LINX® system in management of severe reflux after sleevegastrectomy[J]. Am J Surg. 2019 Mar; 217 (3): 496-499.
21
Świdnicka-Siergiejko AK, Wróblewski E, Hady HR, et al. Esophageal pH and impedance reflux parameters in relation to body mass index, obesity-related hormones, and bariatric procedures[J]. Pol Arch Intern Med. 2018 Oct 31; 128 (10): 594-603.
22
Stenard F, Iannelli A. Laparoscopic sleeve gastrectomy and gastroesophageal reflux[J]. World J Gastroente rol. 2015 Sep 28; 21 (36): 10348-57.
23
Felsenreich DM, Kefurt R, Schermann M, et al. Reflux, Sleeve Dilation, and Barrett's Esophagus after Laparoscopic Sleeve Gastrectomy: Long-Term Follow-Up[J]. Obes Surg. 2017 Dec; 27 (12): 3092-3101.
24
Rahmana Docimo S, Bates A, et al. Concomitant Hiatal Hernia Repair Is more Common in Laparoscopic Sleeve Gastrectomy than During Laparoscopic Roux-en-Y Gastric Bypass: an Analysis of 130,772 Cases[J]. Obes Surg. 2019 Feb; 29 (2): 744-746.
25
Oor JE, Roks DJ, Ç Ünlü , et al. Laparoscopic sleeve gastrectomy and gastroesophageal reflux disease: a systematic review and meta-analysis[J]. Am J Surg. 2016 Jan; 211 (1): 250-67.
26
Lee WJ, Han ML, Ser KH, et a1. Laparoscopic Nissen fundoplieation with gastric plication as a potential treatment of morbidly obese patients with GERD, first experience and results[J]. Obes Surg,2014, 24 (9): 1447-1452.
27
Lim CH, Lee PC, Lim E, et al. Correlation Between Symptomatic Gastro- Esophageal Reflux Disease (GERD) and Erosive Esophagitis (EE) Post-vertical Sleeve Gastrectomy (VSG)[J]. Obes Surg. 2019 Jan; 29 (1): 207-214.
28
Fayad L, Adam A, Schweitzer M, et al. Endoscopic sleeve gastroplasty versus laparoscopic sl eeve gastrectomy: a case-matched study[J]. Gastrointest Endosc. 2019 Apr; 89 (4): 782-788.
29
Borbély Y, Schaffner E, Zimmermann L, et al. De novo gastroesophageal reflux disease after sleeve gastrectomy: role of preoperative silent reflux[J]. Surg Endosc. 2019 Mar; 33 (3): 789-793.
30
Gorodner V, Buxhoeveden R2, Clemente G,et al. Barrett's esophagus after Roux-en-Y gastric bypass: does regression occur?[J]. Surg Endosc. 2017 Apr; 31 (4): 1849-1854.
31
Vorwald P, Restrepo Núñez RM, Salcedo Cabañas G, et al. Laparoscopic Toupet Fundoplication After Roux-en-Y Gastric Bypass in Patient with Severe GERD[J]. Obes Surg. 2019 Apr; 29 (4): 1432.
32
Shin RD, Goldberg MB, Shafran AS, et al. Revision of Roux-en-Y Gastric Bypass with Limb Distalization for Inadequate Weight Loss or Weight Regain[J]. Obes Surg. 2019 Mar; 29 (3): 811-818.
33
Chiappetta S, Stier C, Scheffel O, et al. Mini/One Anastomosis Gastric Bypass Versus Roux-e n-Y Gastric Bypass as a Second Step Procedure After Sleeve Gastrectomy-a Retrospective Cohort Study[J]. Obes Surg. 2019 Mar; 29 (3): 819-827.
34
克力木·阿不都热依木, 艾克拜尔·艾力, 伊比提哈尔, 等. 腹腔镜胃底折叠术联合胃袖状切除术治疗肥胖合并胃食管反流病[J]. 中华普通外科杂志, 2015, 6 (30): 458-461.
35
阿力木江·麦斯依提, 克力木, 艾克拜尔, 皮尔地瓦斯. 腹腔镜抗反流手术猪动物训练模型的建立[J]. 中华普外科手术学杂志（电子版）, 2014, 8, 4: 44-46.
36
皮尔地瓦斯,克力木,艾克拜尔,等. 腹腔镜抗反流手术联合胃大弯侧折叠术动物训练模型的建立[J]. 中华胃食管反流病电子杂志, 2016, 02: 49-52.
37
Althuwaini S, Bamehriz F, Aldohayan A, et al. Prevalence and Predictors of Gastroesophageal Reflux Disease After Laparoscopic SleeveGastrectomy[J]. Obes Surg. 2018 Apr; 28 (4): 916-922.
38
张成, 克力木, 汪忠镐. 食管裂孔疝合并胃食管反流病的外科治疗[J]. 临床外科杂志, 2014, 9: 644-646.
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