Kudzidza kunoongorora chipatara complication rates yekuvhiyiwa kwebariatric
Kudzidza kunoongorora chipatara complication rates yekuvhiyiwa kwebariatric
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Kuongororwa kwehutano hwechipatara chekuvhiyiwa kwebariatric kune vanopfuura 15,000 varwere muMichigan vanoona kuti kuwanda kwematambudziko akakomba kwakaderera uye kunopesana nechipatara uye chiremba wezvekuvhiya maitiro, maererano nekuongorora muna July 28 nyaya yeJAMA..

Nehuwandu hwekuvhiyiwa kwebariatric huri kuwedzera mumakore gumi apfuura, yave yechipiri kuvhiyiwa kwemudumbu kwakanyanya muUnited States. "Zvisinei nemaitiro ekuderera kwehuwandu hwevanhu vanofa, vanobhadhara uye mapoka ekutsigira varwere vanoramba vaine hanya nezvekuchengetedzwa kwekuvhiyiwa kwebariatric uye kusaenzana kwemhando yezvipatara," vanyori vanonyora kudaro.

Nancy JO Birkmeyer, Ph.D., weYunivhesiti yeMichigan, Ann Arbor, Mich., uye vaaishanda navo vakadzidza mhedzisiro yekuvhiyiwa kwebariatric muMichigan, kusanganisira kuenzanisa mitengo yekuomarara nemaitiro uye pakati pezvipatara uye hukama pakati pehuwandu hwemaitiro, kuchengetedzwa kwechipatara., uye nzvimbo dzepamusoro (COE) kubvumidzwa. Mayero ekubvumidzwa kweCOE anosiyana pakati pezvirongwa, asi kazhinji anosanganisira mashoma maitiro vhoriyamu zviyero, kuwanikwa kweakananga maprotocol uye zviwanikwa zvekutarisira varwere vakafutisa, uye kuendesa kwezvakabuda data kune yepakati registry.

Chidzidzo ichi chaisanganisira zvipatara makumi maviri neshanu, vanachiremba makumi matanhatu nevaviri munyika yese uye data kubva kukiriniki yemhedzisiro registry. Vatsvakurudzi vakaongorora zvirwere zvenguva pfupi mu15, 275 Michigan varwere vari pasi pe1 ye3 maitiro akajairika e-bariatric pakati pa2006 na2009, uye vakashandisa maturusi akasiyana-siyana ekuongorora kuti vaone kusiyana kwehuwandu hwematambudziko akagadziridzwa muzvipatara uye kushamwaridzana nehuwandu hwemaitiro uye kusarudzwa kweCOE. chimiro.

Vatsvakurudzi vakawana kuti pazere, 7.3 muzana yevarwere vakawana 1 kana kupfuura perioperative matambudziko, mazhinji acho aive matambudziko emaronda uye mamwe madiki matambudziko. Matambudziko akakomba ainyanya kuitika mushure megastric bypass (3.6 muzana), ichiteverwa negastrectomy (2.2 muzana), uye laparoscopic inogadziriswa gastric band (0.9 muzana) maitiro. Mushure mekugadzirisa maitiro evarwere uye maitiro ekusanganiswa, mazinga ematambudziko akakomba akasiyana kubva ku1.6 muzana kusvika 3.5 muzana muzvipatara. Utachiona ndiyo yaiwanzoita rudzi rwekuvhiya nzvimbo yekuvhiya (3.2 muzana) uye yaive yakajairika pakati pevarwere vaipinda gastric bypass (4.4 muzana) uye sleeve gastrectomy (2.5 muzana) maitiro. Matambudziko anouraya akaitika muvarwere ve2 vanogamuchira laparoscopic inogadziriswa gastric band (0.04 muzana), 0 varwere vanogamuchira sleeve gastrectomy, uye 13 varwere vanogamuchira gastric bypass (0.14 muzana).

"Ngozi yezvinetso zvakakomba yakanga yakabatanidzwa neavhareji yegore negore yebharitric process volume. Nokuda kwehuwandu hwechiremba wokuvhiya, mazinga muzvikamu zvakaderera-, zvepakati-, uye zvepamusoro-soro zvaive 3.8 muzana, 2.4 muzana, uye 1.9 muzana, maererano. Huwandu hwematambudziko akakomba hwaive 4.1 muzana, 2.7 muzana, uye 2.3 muzana muzvipatara zvakaderera, zviri pakati nepamusoro, zvichiteerana. zvipatara zvakanyanya kupfuura zvevavhiyi vepamusoro-soro muzvipatara zvepamusoro (1.9 muzana), "vanyori vanonyora. Kakawanda, maitiro akagadziriswa ematambudziko akakomba akafanana pakati pevarwere vaivhiyiwa pazvipatara zveCOE (2.7 muzana) uye pakati pevaya vari kuvhiyiwa kuzvipatara zvisiri zveCOE (2.0 muzana).

Vatsvaguri vanocherekedza kuti zvakawanikwa muchidzidzo ichi zvinogona kunge zvisingagoneke kunze kwedunhu reMichigan, asi "vanotenda kuti mhedzisiro yakataurwa muchidzidzo ichi inomiririra mhedzisiro yekuvhiyiwa kwebariatric izvo zvinogoneka, asi zvisingaite izvo zvinowanzoitika munharaunda.."

"Idzi data dzinogona kushanda sezviyero zvinobatsira zvekuchengetedzwa kwekuchengetedzwa kwezvipatara zvinovhiya bariatric. Tinovimba kuti vanogonawo kuzivisa gakava pamusoro pekubudirira kwemaitiro akasiyana-siyana ekuvimbisa kuchengetedza kwepamusoro kune varwere vekuvhiyiwa kwebariatric."

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