精准腹腔镜袖状胃旁路术治疗肥胖合并2 型糖尿病一例

doi:10.3877/cma.j.issn.2095-9605.2015.02.015

中华肥胖与代谢病电子杂志 ›› 2015, Vol. 01 ›› Issue (02) : 107 -108. doi: 10.3877/cma.j.issn.2095-9605.2015.02.015

所属专题：经典病例；

病例报告

精准腹腔镜袖状胃旁路术治疗肥胖合并2 型糖尿病一例

王存川¹^,^†(

), 李诚¹, 杨景哥¹, 杨华¹, 曹国¹, 黄勇¹, 周湘茂¹, 王华曦¹

1.510630 广州，暨南大学附属第一医院胃肠外科

收稿日期:2015-07-09 出版日期:2015-08-30
通信作者: 王存川

Treatment of obesity with T2DM by precise laparoscopic sleeve Roux-en-Y gastric bypass: one case report

Cunchuan Wang^†(), Cheng Li, Jingge Yang, Hua Yang, Guo Cao, Yong Huang, Xiangmao Zhou, Huaxi Wang

Received:2015-07-09 Published:2015-08-30
Corresponding author: Cunchuan Wang

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王存川, 李诚, 杨景哥, 杨华, 曹国, 黄勇, 周湘茂, 王华曦. 精准腹腔镜袖状胃旁路术治疗肥胖合并2 型糖尿病一例[J/OL]. 中华肥胖与代谢病电子杂志, 2015, 01(02): 107-108.

Cunchuan Wang, Cheng Li, Jingge Yang, Hua Yang, Guo Cao, Yong Huang, Xiangmao Zhou, Huaxi Wang. Treatment of obesity with T2DM by precise laparoscopic sleeve Roux-en-Y gastric bypass: one case report[J/OL]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2015, 01(02): 107-108.

图1 腔镜直线型切割闭合器切割胃大弯组织

图2 上提横结肠，从Treitz 韧带向远端测量空肠25 cm

图3 袖状胃从结肠根部小切口穿过

图4 幽门与远端空肠断端行端侧吻合

[1]	Buchwald H, Oien DM. Metabolic/bariatric surgery worldwide 2011[J]. Obes Surg, 2013, 23(4):427-436.
[2]	Sabbagh C, Verhaeghe P, Dhahri A, et al. Two-year results on morbidity, weight loss and quality of life of sleeve gastrectomy as first procedure, sleeve gastrectomy after failure of gastric banding and gastric banding[J]. Obes Surg, 2010, 20(6):679-684.
[3]	Pu YD, Li JQ, Cao ZY, et al. Clinical observation of gastric bypass in treatment of type 2diabetes[J]. Chin Med J(Engl), 2012,125(11):1899-1902.
[4]	Schauer PR, Bhatt DL, Kirwan JP, et al. Bariatric surgery versus intensive medical therapy for diabetes-3- year outcomes[J]. N Engl J Med, 2014, 370(21):2002-2013.
[5]	Hammer HF. Medical complications of bariatric surgery: focus on malabsorption and dumping syndrome[J]. Dig Dis, 2012, 30(2):182-186.
[6]	Celik A, Ugale S, Ofluoglu H, et al. Technical feasibility and safety profile of laparoscopic diverted sleeve gastrectomy with ileal transposition(DSIT)[J]. Obes Surg, 2015, 25(7):1184-1190.

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