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100例胃转流术治疗2型糖尿病患者术后并发症观察及防治体会 被引量:4

Observation and Experience in Prevention of Postoperative Complications for 100 Cases of Gastric Bypass in Treatment of Type 2 Diabetes Mellitus Patients
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摘要 目的观察总结胃转流术(Gastric bypass,GBP)治疗2型糖尿病术后常见并发症,探讨其防治方法。方法对100例胃转流术治疗2型糖尿病患者的临床资料进行回顾性分析。结果本组100例患者手术方法为胃转流术或胃转流术+胆囊切除术,术后胃瘫综合征(Postoperative gastroparesis syndrome,PGS)21例,术后切口脂肪液化20例,术后出血4例。结论术后胃瘫综合征是胃转流术治疗2型糖尿病术后最常见并发症,其次为切口脂肪液化,第三为术后出血,以上情况术前采取预防措施、术后采用积极治疗手段均可治愈。 Objective To observe and summarize the postoperative complication of Gastric bypass operation in treatment of type 2 diabetes mellitus,and explore its prevention and treatment. Methods A retrospectively analysis was undertaken to analysis 100 cases of type 2 diabetes mellitus treated by Gastric bypass. Results This group of 100 patients' operation method was gastric bypass or gastric bypass and cholecystectomy. Observed the postoperative complications,there were 21 postoperative gastroparesis syndrome cases, 20 postoperative Incision fat liquefaction cases and 4 postoperative bleeding cases. Conclusion Postoperative gastroparesis syndrome is the most common postoperative complications after Gastric bypass treatment for type 2 diabetes mellims,followed by incision fat liquefaction, the third for postoperative bleeding. If we take preventive measures to above situation preoperatively,and adopt positive therapy means, all of them can be cured.
出处 《中国现代医生》 2011年第35期152-154,共3页 China Modern Doctor
关键词 胃转流术 2型糖尿病 术后并发症 术后胃瘫综合征 Gastric bypas Type 2 diabetes Mellitus Postoperative complication Postoperative gastroparesis syndrome
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  • 1张新国,杨学军,徐红,韩承新,贾元利,武金虎,张冶.胃旁路手术治疗Ⅱ型糖尿病的体会[J].中华普通外科杂志,2005,20(9):599-599. 被引量:100
  • 2杨金镛 崔自介.普通外科诊疗术后并发症及处理,第1版[M].北京:人民卫生出版社,1997.342-343.
  • 3Ballantyne GH, Wasielewski A, Saunders JK. The surgical treatment of type II diabetes mellitus: changes in HOMA insulin resistance in the first year following laparoscopic Roux-en-Y gastric bypass (LRYGB)and laparoscopic adjustable gastric banding (LAGB). Obes Surg, 2009,19 : 1297-1303.
  • 4Guidone C, Manco M, Valera-Mora E, et al. Mechanisms of recovery from type 2 diabetes after malabsorptive bariatric surgery. Diabetes, 2006, 55:2025-2031.
  • 5Schauer PR, Burguera B, Ikramuddins, et al. Effect of laparoscopic Roux-En Y gastric bypass on type 2 diabetes mellitus. Ann Surg, 2003,238:467-485.
  • 6Pories WJ, Swanson MS, MacDonald KG, et al. Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus. Ann Surg, 1995, 222: 339-350.
  • 7Caterina G, Melania M, Elena VM, et al. Mechanisms of recovery from type 2 diabetes after malabsorptive bariatric surgery. Diabetes, 2006,55: 2025-2031.
  • 8Mingrone G. Role of the incretin system in the remission of type 2 diabetes following bariatric surgery. Nutr Metab Cardiovasc Dis, 2008,18.-574-579.
  • 9Jia WP, Lu JX, Xiang KS,et al. Epidemiological study on obesity and its eomorbidities in urban Chinese older than 20 years of age in Shanghai, China. Obes Rev, 2002,3 : 157-165.
  • 10[2]Chuang SD, Chiu HC, Chang CC. Subcutaneous fat necrosis of the newborn complicating hypothermic cardiac surgery. Br J Dermatol,1995,132: 805-810.

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  • 1张新国,杨学军,徐红,韩承新,贾元利,武金虎,张冶,高宏凯.胃转流手术治疗2型糖尿病胰岛素抵抗改变的临床研究[J].武警医学,2007,18(4):309-310. 被引量:36
  • 2Goldfine AB, Shoelson SE, Aguirre V. Expansion and con- traction:treating diabetes with bariatric surgery[J]. Nature Medicine,2009,15(6) 616 617.
  • 3The Expert Committee of the Diagnosis and Classification of Diabetes. Report of the expert committee on the diagnosis and classification of diabetes mellitus[J]. Diabetes Care, 2003,26(Suppl 1):S5-20.
  • 4Detournay B, Cros S, Charbonnel B, et al. Managing type di- abetes in France: the ECOD IA survey[J]. Diabetes Metab, 2000,26(5) :363-369.
  • 5John S, Hoegerl C. Nutritional deficiencies after gastric by- pass surgery[J]. J Am Osteopath Assoc,2009,109(11):601 604.
  • 6Schauer PR, Burguera B, Ikramuddin S, et al. Ef{ect of lapa- roscopie Toux-en-Y gastric bypass on type 2 diabetes mellitus[J]. Ann surg,2003,238(4) :467 485.
  • 7Coleman MC, Slovis NM, Hunt RJ, et al. Long-term prog- nosis of gastrojejunostomy in foals with gastric outflow ob struction 16 cases(2001 2006)[J]. Equine Vet J,2009,41 (7) :653-657.
  • 8徐可树.消化科疑难问题解释[M]南京:江苏科学技术出版社,2009119.
  • 9Yang WY,Lu JM,Weng JP,et al.Prevalence of diabetes among men and women in China[J].N Engl J Med,2010,362(12):1090-1101.
  • 10Buchwald H,Avidor Y,Braunwald E,et al.Bariatric surgery:a systematic review and meta-analysis[J].JAMA,2004,292(14):1724-1737.

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