Comparison of clinical efficacy between a novel antireflux sleeve gastrectomy and sleeve gastrectomy combined with esophageal hiatal hernia repair surgery
10.3760/cma.j.cn113855-20240112-00034
- VernacularTitle:新型抗反流袖状胃切除术与袖状胃切除联合食管裂孔疝修补术的临床疗效对比
- Author:
Jianyu CUI
1
;
Xin LI
;
Hao WANG
Author Information
1. 新疆维吾尔自治区人民医院微创、疝和腹壁外科，乌鲁木齐 830001
- Keywords:
Obesity;
Gastroesophageal reflux;
Gastrectomy;
Hernia, hiatal;
Fundoplication
- From:
Chinese Journal of General Surgery
2024;39(6):450-455
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate a novel anti-reflux sleeve gastrectomy (LSGFD) in comparison with laparoscopic sleeve gastrectomy combined with hiatal hernia repair (LSG+HHR) for the treatment of obesity-combined gastroesophageal reflux disease (GERD).Method:Seventy-three patients admitted at Xinjiang Uygur Autonomous Region People's Hospital from Jan 2020 to Jan 2022 underwent LSGFD(41 cases) or LSG+HHR(32 cases), and the patients' preoperative and 1-year postoperative GERD questionnaire scores (Gerd-Q), acidometry and manometry and other relevant clinical data were collected and compared.Results:The postoperative BMI of the two groups was significantly lower than that of the preoperative period, and the difference was statistically significant ( P<0.05); the comparison of the percentage of postoperative body mass loss between the two groups was not statistically significant ( P>0.05). Differences in postoperative Gerd-Q score, acid reflux analysis and esophageal dynamics analysis of the two groups were statistically significant compared with the preoperative period ( P<0.05), DeMeester score of LSGFD decreased significantly compared with that of LSG+HHR ( P<0.05). There was no significant difference in intraoperative blood loss, hospitalization time and duration of the operation between the two groups ( P>0.05) The incidence of post-discharge complications (nausea or vomiting, anemia) and the recurrence rate of GERD were lower in the LSGFD group,though there was no statistically significant difference ( P>0.05). Conclusion:LSGFD is better than LSG+HHR in treating obesity combined with GERD.
