Metabolik Cerrahi (tur. Kev Ntsuas Metabolic Kev Kho Mob) yog ib lub tsev kho mob loj hauv tebchaws Turkey thiab Europe rau kev phais mob metabolism. Nws ua kwv yees li 300-400 ntawm cov haujlwm uas nyuaj tshaj plaws rau cov ntshav qab zib hom 2. Alper Celic, Tus Thawj Tuav Haujlwm Kho Mob, tau ua haujlwm hauv tsev kho mob hauv Nyij Pooj, Brazil, thiab Is Nrias teb. Nws yog ib qho ntawm ob peb tus kws kho mob uas tuaj yeem muab cov kev phais mob li Ileal Interposition thiab Transit Bipartition thiab coj lawv nrog cov teebmeem tsawg kawg nkaus. Nws tseem yog tus tswv lag luam rau Kev Tshuaj Ntsuam Xyuas Kev phais mob los ntawm American Society uas lees paub tias nws yog "Tus Kws Kho Mob ntawm Kev Zoo Tshaj Plaws hauv Kev Plab Hlawv thiab Kev Tshawb Pom Kev Mob Hlawv." Kev phais yog raws li qhov peculiarities ntawm txoj hnyuv plab txoj hnyuv. Feem ntau, ntawm nws cov distal qhov twg cov tshuaj hormones, lub luag haujlwm rau qhov rhiab ntawm hlwb mus rau insulin, yog tsim tawm. Lub hom phiaj ntawm kev cuam tshuam ntawm kev phais mob txhawm rau txhawm rau txhawm rau txhim kho cov tshuaj no.
Ileal Interposition Lub sijhawm ua haujlwm, tus kws phais mob hloov qhov kawg (distal) thiab qhov pib (qhov nyob ze) ntawm cov hnyuv me.
Muaj qee kis, ileum (feem cuam tshuam ntawm txoj hnyuv me) tau tso rau ntawm lub plab thiab qhov sib thooj ntawm txoj hnyuv.
Kev Pauv Hloov Kev Caij Tsheb Kev phais yog qhov nyuaj ntau cov nyom. Lub plab hnyuv me yog txiav ua ob ntu. Qhov pib thawj zaug tau xaws ze ze rau cov hnyuv loj. Qhov seem pub dawb kawg ntawm txoj hnyuv yog stitched nrog lub plab (thiaj li hu ua gastroileal anastomosis). Yog li, lub plab khaws ob txoj hauv kev.
Cov kev hloov pauv tau tsim los txhawm rau txhawm rau lub plab lub cev tsis zoo thiab lub plab plab tsis zoo, uas ua rau cov rog rog thiab mob plab metabolic syndrome.
Tsis zoo li cov txheej txheem phais mob malabsorptive yav dhau los, kev hloov khoom noj khoom haus yog tswj tau hauv duodenum minimizing malabsorption.
Qhov zoo ntawm Transit Bipartition lub lag luam: malabsorption syndrome - malabsorption cov as-ham tsis txhim kho. 95% ntawm cov neeg mob tsis tas yuav tswj kom muaj kev noj qab haus huv ib txwm muaj nyob hauv cov tshuaj vitamins.
Txhua qhov kev phais mob yog ua laparoscopically tso cai tawm hauv Tsev Kho Mob hauv 5 hnub thiab rov qab mus rau txoj kev tau lub neej zoo. Tshaj li 90% ntawm cov neeg mob tau ruaj khov theem ntawm cov piam thaj tom qab kev phais mob.
Dhau li ntawm kev phais, Metabolic Cerrahi cov kws tshwj xeeb tau siv sijhawm ib nrab xyoo tom qab kev tswj hwm txhawm rau txhawm rau txheeb xyuas yog tias xav tau kev kho mob ntxiv.