【摘要】 近年来,肥胖症及肥胖相关的2型糖尿病已成为威胁人类健康的严重问题,随之兴起的减重手术也逐渐被人们所认可。其中腹腔镜下袖状胃切除术(laparoscopic sleeve gastrectomy,LSG)具有技术简单、减重效果显著、并发症发生率更低等优点,因此得到临床医师的青睐。胃漏是LSG术后最为棘手的并发症,发生率为2%~5%,具有治疗周期长、花费成本高的特点。其发病的具体机制尚未阐明,治疗方案仍富争议,国内外研究提出了多种解释及相关处理策略,本文现对目前的研究进展做一总结。更多还原

【Abstract】 In recent years,obesity and obesity associated type 2 diabetes mellitus are the most serious medical issues which threaten the health of human beings. And bariatric surgery has become more and more popular and been accepted by public. Laparoscopic sleeve gastrectomy( LSG),a kind of bariatric surgeries,got some advantages including simple operation,significant effect of reducing weight and low incidence of complications,thus LSG acquired more favor of clinicians. Leak after LSG is the most feared complication,which got incidence ranging between 2% and 5%,and it always need long treatment time and high cost. However,the mechanism of leak after LSG has not been fully demonstrated and the treatment protocol is still a controversial topic. Since worldwide researches have provided various explanations and therapy strategies,this review will focus on the current research progress.更多还原