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JAMA Surg:减肥手术后5年二次医疗干预风险比较研究——胃旁路vs袖状胃切除术

2020-01-20 MedSci MedSci原创

研究发现,在减肥手术后,患者接受二次干预、手术和住院风险较高,且接受胃旁路术患者风险高于袖状胃切除术

近日研究人员比较了Roux-en-Y旁路(RYGB)或袖状切除术(SG)两种减肥手术后干预、手术、内镜检查、住院治疗和5年内死亡率的风险差异。

33560名接受Roux-en-Y胃旁路(RYGB)或袖状胃切除术(SG)患者参与研究。研究的主要终点为减肥手术后二次手术或干预的时间,次要终点为内镜检查、住院治疗和死亡率。

在33560名成年患者中,18056人(54%)接受了RYGB,15504人(46%)接受了SG。二次手术或干预平均时间RYGB为3.4年,SG为2.2年。SG二次手术或干预的风险低于RYGB(危险比:0.72)。5年手术或干预的累积发生率SG为8.94%,RYGB为12.27%。SG的住院率低于RYGB(危险比:0.82),SG的5年累积医疗干预率为32.79%,RYGB为38.33%。SG后胃镜检查率低于RYGB(危险比0.47),5年SG后胃镜的累积发生率为7.80%,RYGB为15.83%。SG和RYGB组全因死亡率没有差异。

研究发现,在减肥手术后,患者接受二次干预、手术和住院风险较高,且接受胃旁路术患者风险高于袖状胃切除术。

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    2020-01-22 bshuang
  7. [GetPortalCommentsPageByObjectIdResponse(id=2078460, encodeId=2c9020e84602a, content=<a href='/topic/show?id=1842100886df' target=_blank style='color:#2F92EE;'>#风险比#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100886, encryptionId=1842100886df, topicName=风险比)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=947269, createdName=lvygwyt2781, createdTime=Thu Sep 24 00:33:00 CST 2020, time=2020-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1877243, encodeId=c14418e724383, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Sat Apr 11 17:33:00 CST 2020, time=2020-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1771238, encodeId=9c301e71238ed, content=<a href='/topic/show?id=2c1c34945d7' target=_blank style='color:#2F92EE;'>#医疗干预#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34945, encryptionId=2c1c34945d7, topicName=医疗干预)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fea738217950, createdName=维他命, createdTime=Tue Apr 14 17:33:00 CST 2020, time=2020-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1934245, encodeId=e93f19342458c, content=<a href='/topic/show?id=72108319e63' target=_blank style='color:#2F92EE;'>#胃旁路#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83197, encryptionId=72108319e63, topicName=胃旁路)], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/cc81592b507031e3cfd8d4c57911d98b/62c22832a9474aea1ca90ca058aebc03.jpg, createdBy=bed5446, createdName=limedical1974, createdTime=Fri Dec 11 05:33:00 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305708, encodeId=c5c41305e08a7, content=<a href='/topic/show?id=da009035e28' target=_blank style='color:#2F92EE;'>#袖状胃切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90357, encryptionId=da009035e28, topicName=袖状胃切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2e0330, createdName=huangdf, createdTime=Wed Jan 22 09:33:00 CST 2020, time=2020-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1518581, encodeId=abfd15185810c, content=<a href='/topic/show?id=324183166ad' target=_blank style='color:#2F92EE;'>#胃切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83166, encryptionId=324183166ad, topicName=胃切除)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e3cc11160823, createdName=bshuang, createdTime=Wed Jan 22 09:33:00 CST 2020, time=2020-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035879, encodeId=1ddd10358e95f, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Mon Jan 20 21:33:00 CST 2020, time=2020-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048292, encodeId=d16b10482924b, content=什么时候有懒人用的减肥神药?, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Mon Jan 20 21:33:00 CST 2020, time=2020-01-20, status=1, ipAttribution=)]
    2020-01-20 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=2078460, encodeId=2c9020e84602a, content=<a href='/topic/show?id=1842100886df' target=_blank style='color:#2F92EE;'>#风险比#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=85, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100886, encryptionId=1842100886df, topicName=风险比)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=947269, createdName=lvygwyt2781, createdTime=Thu Sep 24 00:33:00 CST 2020, time=2020-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1877243, encodeId=c14418e724383, content=<a href='/topic/show?id=67c5319121e' target=_blank style='color:#2F92EE;'>#切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31912, encryptionId=67c5319121e, topicName=切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=9d8a96, createdName=doctorzheng, createdTime=Sat Apr 11 17:33:00 CST 2020, time=2020-04-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1771238, encodeId=9c301e71238ed, content=<a href='/topic/show?id=2c1c34945d7' target=_blank style='color:#2F92EE;'>#医疗干预#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=34945, encryptionId=2c1c34945d7, topicName=医疗干预)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=fea738217950, createdName=维他命, createdTime=Tue Apr 14 17:33:00 CST 2020, time=2020-04-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1934245, encodeId=e93f19342458c, content=<a href='/topic/show?id=72108319e63' target=_blank style='color:#2F92EE;'>#胃旁路#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83197, encryptionId=72108319e63, topicName=胃旁路)], attachment=null, authenticateStatus=null, createdAvatar=http://login.medsci.cn/upload/avatar/cc81592b507031e3cfd8d4c57911d98b/62c22832a9474aea1ca90ca058aebc03.jpg, createdBy=bed5446, createdName=limedical1974, createdTime=Fri Dec 11 05:33:00 CST 2020, time=2020-12-11, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1305708, encodeId=c5c41305e08a7, content=<a href='/topic/show?id=da009035e28' target=_blank style='color:#2F92EE;'>#袖状胃切除术#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=90357, encryptionId=da009035e28, topicName=袖状胃切除术)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e2e0330, createdName=huangdf, createdTime=Wed Jan 22 09:33:00 CST 2020, time=2020-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1518581, encodeId=abfd15185810c, content=<a href='/topic/show?id=324183166ad' target=_blank style='color:#2F92EE;'>#胃切除#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=83166, encryptionId=324183166ad, topicName=胃切除)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=e3cc11160823, createdName=bshuang, createdTime=Wed Jan 22 09:33:00 CST 2020, time=2020-01-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1035879, encodeId=1ddd10358e95f, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Mon Jan 20 21:33:00 CST 2020, time=2020-01-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1048292, encodeId=d16b10482924b, content=什么时候有懒人用的减肥神药?, beContent=null, objectType=article, channel=null, level=null, likeNumber=114, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Mon Jan 20 21:33:00 CST 2020, time=2020-01-20, status=1, ipAttribution=)]
    2020-01-20 CHANGE

    什么时候有懒人用的减肥神药?

    0

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