内镜下袖状胃成形术治疗肥胖病的临床效果分析

Clinical efficacy analysis of endoscopic sleeve gastroplasty in the treatment of obesity

吴良平 ¹戴晓江 ¹陈烨 ²黄红艳 ¹谭俊杰 ¹何基培 ¹赵为国 ¹汪蕾 ¹曾晖¹

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作者信息

1. 广州中医药大学金沙洲医院减重及糖尿病外科,广州 510168
2. 海南省博鳌恒大国际医院外科,琼海 571400
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摘要

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.

Abstract

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.

关键词

内镜缝合系统/袖状胃成形术/肥胖/减重

Key words

Endoscopic suture system/Sleeve gastroplasty/Obesity/Weight loss

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出版年

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

CSTPCDCSCD北大核心

影响因子：1.764

ISSN：1671-0274

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