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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 ›› 2022, Vol. 09 ›› Issue (03) : 165 -169. doi: 10.3877/cma.j.issn.2095-8765.2022.03.006

综述

肥胖合并胃食管反流病的外科治疗研究进展
玉素江·图荪托合提1, 艾克拜尔·艾力2,†(), 麦麦提艾力·麦麦提明3, 凯依赛尔·麦麦提4, 王志3, 李义亮5, 克力木·阿不都热依木6   
  1. 1. 830054 乌鲁木齐， 新疆医科大学研究生学院
    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. 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
    4. 830054　乌鲁木齐，新疆医科大学研究生学院
    5. 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
    6. 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:2022-01-17 出版日期:2022-08-15
  • 通信作者: 艾克拜尔·艾力
  • 基金资助:
    上海合作组织科技伙伴计划及国际科技合作计划(2020E01014)

Research progress of surgical treatment of obesity with gastroesophageal reflux disease

Yusujiang·Tusuntuoheti1, Aikebaier·Aili2,†(), Maimaiti aili·Maimaitiming3, Kaiyisaier·Maimaiti4, Zhi Wang3, Yiliang Li5, Kelimu·Abudureyimu6   

  1. 1. Xinjiang Medical University Graduate School of Medicine, Urumqi 830054, China, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
    2. Department of Minimally Invasive Surgey, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China; Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
    3. Department of Minimally Invasive Surgey, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
    6. Xinjiang Medical University Graduate School of Medicine, Urumqi 830054, China, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China; Department of Minimally Invasive Surgey, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China; Research Institute of General and Minimally Invasive Surgery, People's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China
  • Received:2022-01-17 Published:2022-08-15
  • Corresponding author: Aikebaier·Aili
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玉素江·图荪托合提, 艾克拜尔·艾力, 麦麦提艾力·麦麦提明, 凯依赛尔·麦麦提, 王志, 李义亮, 克力木·阿不都热依木. 肥胖合并胃食管反流病的外科治疗研究进展[J]. 中华胃食管反流病电子杂志, 2022, 09(03): 165-169.

Yusujiang·Tusuntuoheti, Aikebaier·Aili, Maimaiti aili·Maimaitiming, Kaiyisaier·Maimaiti, Zhi Wang, Yiliang Li, Kelimu·Abudureyimu. Research progress of surgical treatment of obesity with gastroesophageal reflux disease[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2022, 09(03): 165-169.

肥胖被认为是胃食管反流病（GERD）的主要独立危险因素之一。近年来，GERD的患病率不断地在增加，并且与肥胖患病率的上升密切相关。减重手术是治疗病态肥胖的有效方式，由于其对合并GERD患者的疗效存在争议，肥胖合并GERD的外科治疗方式的选择成为一难题。因此，研究者们设计了腹腔镜胃底折叠联合胃大弯侧折叠术、腹腔镜下袖状胃联合Collis-Nissen胃成形术、腹腔镜袖状胃切除联合胃底折叠术以及腹腔镜袖状胃切除联合保留膈食管前韧带的食管裂孔疝修补术等多种新型手术方式。该文主要总结传统减重代谢术式以及新型术式在治疗肥胖合并GERD的疗效方面的研究进展。

关键词: 肥胖, 胃食管反流病, 减重手术

Obesity is considered to be the main risk factor for gastroesophageal reflux disease (GERD) and its complications. In recent years, the prevalence of GERD has been increasing, and it is closely related to the rising prevalence of obesity. Bariatric surgery is an effective way to treat morbid obesity. Due to its controversial effect on obese patients with GERD, the choice of surgical treatment for obesity with GERD has become a difficult problem. In order to overcome this problem, the researchers designed a variety of new surgical methods, including Laparoscopic Nissen fundoplication with gastric plication, laparoscopic Sleeve-Collis-Nissen gastroplasty, laparoscopic sleeve gastrectomy with fundoplication, and Anterior Phrenoesophageal Ligament Preservation During Hiatus Hernia Repair in Laparoscopic Sleeve Gastrectomy. This article mainly summarizes the research progress of traditional bariatric surgery and new surgery in the treatment of obesity combined with GERD.

Key words: Obesity, Gastroesophageal reflux disease, Bariatric surgery
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