胃繞道手術
| 胃繞道手術 | |
|---|---|
 | |
| ICD-9-CM | 44.31-44.39 |
| MeSH | D015390 |
| MedlinePlus | 007199 |
胃繞道手術是一種手術，此類手術將胃切割成一大一小的胃，然後用小腸將兩個胃連接起來。只有小胃可以消化食物，這樣可以減少食慾以達到控制體重的目的[1]。
胃繞道手術可用於治療肥胖症（身高體重指數指數大於40）、2型糖尿病、高血壓、睡眠呼吸暫停和其他共病症。[2][3]與所有手術一樣，接受胃繞道手術的病人可能會出現併發症。2005年至2006年的一項研究顯示，15%的病人因接受胃繞道手術而出現併發症，0.5%的病人在手術後六個月內因併發症而死亡。[4]
參考文獻
- ^ 胃繞道手術. [2021-04-29]. （原始內容存檔於2021-05-01）.
- ^ Adams TD, Gress RE, Smith SC, Halverson RC, Simper SC, Rosamond WD, et al. Long-term mortality after gastric bypass surgery. The New England Journal of Medicine (Journal Article) (Massachusetts Medical Society). August 2007, 357 (8): 753–61 (23 August 2007). LCCN 20020456. OCLC 231027780. PMID 17715409. S2CID 8710295. doi:10.1056/NEJMoa066603. eISSN 1533-4406.
During a mean follow-up of 7.1 years, adjusted long-term mortality from any cause in the surgery group decreased by 40%, as compared with that in the control group (37.6 vs. 57.1 deaths per 10,000 person-years, P<0.001); cause-specific mortality in the surgery group decreased by 56% for coronary artery disease (2.6 vs. 5.9 per 10,000 person-years, P=0.006), by 92% for diabetes (0.4 vs. 3.4 per 10,000 person-years, P=0.005), and by 60% for cancer (5.5 vs. 13.3 per 10,000 person-years, P<0.001).
- ^ Sjöström L, Narbro K, Sjöström CD, Karason K, Larsson B, Wedel H, et al. Effects of bariatric surgery on mortality in Swedish obese subjects. The New England Journal of Medicine (Journal Article) (Massachusetts Medical Society). August 2007, 357 (8): 741–52 (23 August 2007). LCCN 20020456. OCLC 231027780. PMID 17715408. S2CID 20533869. doi:10.1056/NEJMoa066254. eISSN 1533-4406.
Bariatric surgery for severe obesity is associated with long-term weight loss and decreased overall mortality.
- ^ Complications and Costs for Obesity Surgery Declining (Press release). Rockville, MD: Agency for Healthcare Research and Quality. 29 April 2009 [24 August 2011]. （原始內容存檔於18 August 2011） （英語）.
The study, "Recent Improvements in Bariatric Surgery Outcomes," to be published in the May 2009 Medical Care, found that the complication rate among patients initially hospitalized for bariatric surgery dropped from approximately 24 percent to roughly 15 percent.
更多閱讀
- Buchwald H, Cowan GS, Pories WJ. Surgical Management of Obesity 1st. Saunders (imprint). 13 October 2006 [2021-04-29]. ISBN 978-1416000891. LCCN 2006041808. OCLC 954791137. OL 17156851M. doi:10.1016/B978-1-4160-0089-1.X5001-8. （原始內容存檔於2021-04-29） （英語）.
- Buchwald H. Bariatric surgery for morbid obesity: health implications for patients, health professionals, and third-party payers. Journal of the American College of Surgeons (Journal Article). April 2005, 200 (4): 593–604 (1 April 2004). OCLC 813726901. PMID 15804474. doi:10.1016/j.jamcollsurg.2004.10.039.
- Christou NV, Sampalis JS, Liberman M, Look D, Auger S, McLean AP, MacLean LD. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Annals of Surgery (Journal Article) (Lippincott Williams & Wilkins). September 2004, 240 (3): 416–23; discussion 423–4. PMC 1356432
. PMID 15319713. doi:10.1097/01.sla.0000137343.63376.19. eISSN 1528-1140. - Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB. Years of life lost due to obesity. JAMA (Journal Article). January 2003, 289 (2): 187–93 (8 January 2003). LCCN 82643544. OCLC 1124917. PMID 12517229. doi:10.1001/jama.289.2.187. eISSN 1538-3598.
- Peeters A, Barendregt JJ, Willekens F, Mackenbach JP, Al Mamun A, Bonneux L. NEDCOM, the Netherlands Epidemiology and Demography Compression of Morbidity Research Group. Obesity in adulthood and its consequences for life expectancy: a life-table analysis (PDF). Annals of Internal Medicine (Journal Article) (American College of Physicians). January 2003, 138 (1): 24–32 (1 January 2003) [2021-04-29]. LCCN 43032966. OCLC 1481385. PMID 12513041. S2CID 8120329. doi:10.7326/0003-4819-138-1-200301070-00008. eISSN 1539-3704. hdl:1765/10043. （原始內容 (PDF)存檔於2016-09-10）.
- Hutter MM, Randall S, Khuri SF, Henderson WG, Abbott WM, Warshaw AL. Laparoscopic versus open gastric bypass for morbid obesity: a multicenter, prospective, risk-adjusted analysis from the National Surgical Quality Improvement Program. Annals of Surgery (Journal Article) (Lippincott Williams & Wilkins). May 2006, 243 (5): 657–62; discussion 662–6 (1 May 2006). PMC 1570562 . PMID 16633001. doi:10.1097/01.sla.0000216784.05951.0b. eISSN 1528-1140.
