{"title":"Surgical treatments for obesity . . . and other stories","authors":"British Medical Journal Publishing Group","doi":"10.1136/bmj.r485","DOIUrl":null,"url":null,"abstract":"Complete 10 year follow-up data were available only for 65% of the 300 adults randomised either to laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass for the treatment of obesity. Even so, it’s fairly clear that Roux-en-Y gastric bypass is the better option for sustained weight reduction and for causing fewer adverse effects. Gastroesophageal reflux was less common after gastric bypass than after sleeve gastrectomy ( JAMA Surg doi:10.1001/jamasurg.2024.7052). Guidelines recommend clinical surveillance rather than early surgery for patients with asymptomatic severe aortic stenosis and a normal left ventricular ejection …","PeriodicalId":22388,"journal":{"name":"The BMJ","volume":"8 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The BMJ","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bmj.r485","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Complete 10 year follow-up data were available only for 65% of the 300 adults randomised either to laparoscopic sleeve gastrectomy or Roux-en-Y gastric bypass for the treatment of obesity. Even so, it’s fairly clear that Roux-en-Y gastric bypass is the better option for sustained weight reduction and for causing fewer adverse effects. Gastroesophageal reflux was less common after gastric bypass than after sleeve gastrectomy ( JAMA Surg doi:10.1001/jamasurg.2024.7052). Guidelines recommend clinical surveillance rather than early surgery for patients with asymptomatic severe aortic stenosis and a normal left ventricular ejection …
300名随机选择腹腔镜袖式胃切除术或Roux-en-Y胃旁路术治疗肥胖的成年人中，只有65%的人有完整的10年随访数据。即便如此，很明显Roux-en-Y胃旁路手术是持续减肥和减少不良反应的更好选择。胃旁路术后胃食管反流的发生率低于套管胃切除术（JAMA surgery doi:10.1001/jamasur .2024.7052）。指南建议对无症状严重主动脉瓣狭窄和左心室射血正常的患者进行临床监测，而不是早期手术。
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