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内镜下袖状胃成形术治疗肥胖病的临床效果分析

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目的 探讨内镜下袖状胃成形术(ESG)治疗肥胖病的临床效果.方法 1例女性26岁患者,因"体质量进行性增加2年"于2022年10月20日入院,体质量指数(BMI)30.04kg/m2,体脂百分比39.2%,内脏脂肪等级为15.采用OverStitchsx内镜缝合系统进行ESG手术.结果 患者手术顺利,术中出血约5 ml.术后第1天出院.术后两周行胃碘油造影见胃呈管状形态,术后6个月复查BMI为25.2 kg/m2,体脂百分比32%,内脏脂肪等级:10,术后6月总体质量丢失率(%TBWL)为16%,多余体质量减少率(%EWL)为54.5%.结论 ESG治疗肥胖性疾病可行有效.
Clinical efficacy analysis of endoscopic sleeve gastroplasty in the treatment of obesity
Objective To explore the clinical efficacy of endoscopic sleeve gastrectomy(ESG)in the treatment of obesity.Method A 26 year old female patient was admitted on October 20,2022 due to a progressive increase in weight for 2 years.Her body mass index(BMI)was 30.04 kg/m2,body fat percentage was 39.2%,and visceral fat grade was 15.ESG was performed using the OverStitchSX endoscopic suture system.Result The surgery was successful,with approximately 5 ml of intraoperative bleeding.The patient discharged on the first day after surgery.Two weeks after surgery,small bowel follow-through showed a tubular shape of the stomach.At 6 months after surgery,the BMI was 25.2 kg/m2,body fat percentage was 32%,visceral fat grade was 10.The total body weight loss rate(%TBWL)at 6 months after surgery was 16%,and the excess weight loss rate(%EWL)was 54.5%.Conclusion ESG is effective for the treatment of obesity.

Endoscopic suture systemSleeve gastroplastyObesityWeight loss

吴良平、戴晓江、陈烨、黄红艳、谭俊杰、何基培、赵为国、汪蕾、曾晖

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广州中医药大学金沙洲医院减重及糖尿病外科,广州 510168

海南省博鳌恒大国际医院外科,琼海 571400

内镜缝合系统 袖状胃成形术 肥胖 减重

2024

中华胃肠外科杂志
中华医学会,中山大学

中华胃肠外科杂志

CSTPCD北大核心
影响因子:1.764
ISSN:1671-0274
年,卷(期):2024.27(8)