Ablassmaier B, Opitz I, Jacobi C A, Müller J M
Klinik für Allgemein-, Visceral-, Gefäss- und Thoraxchirurgie, Charité, Campus Mitte, Humboldt Universität Berlin.
Chirurg. 2001 Jul;72(7):838-43. doi: 10.1007/s001040170114.
Between November 1995 and August 2000 we performed adjustable silicone gastric banding laparoscopically in 252 patients. The body mass index varied from 37 to 86 kg/m2. We report on a 38-year-old woman who was operated on in 1997 with a body mass index of 47 kg/m2 (167 cm, 132 kg). The postoperative follow-up was uneventful until January 2000. The patient lost weight until she weighed 78 kg. Then she complained of diffuse epigastric pain. Gastroscopy revealed gastritis. Omeprazol was prescribed. No amelioration occurred. Endoscopic control showed partial intragastric migration of the band. After laparoscopic removal of the band, the patient was free of symptoms. Band erosion is a possible complication of adjustable gastric banding. As is known from intragastric penetration of the Angelchik prosthesis, the clinical symptoms of this complication may be mild. Since the follow-up of most patients with gastric banding is less than 5 years, more complications similar to that one described may be diagnosed in the future.
1995年11月至2000年8月期间，我们对252例患者进行了腹腔镜下可调节硅胶胃束带术。体重指数在37至86kg/m²之间。我们报告一例38岁女性，她于1997年接受手术，体重指数为47kg/m²（身高167cm，体重132kg）。术后随访至2000年1月均无异常。患者体重减轻至78kg。随后她主诉上腹部弥漫性疼痛。胃镜检查显示胃炎。给予奥美拉唑治疗。症状未改善。内镜检查显示束带部分胃内移位。腹腔镜下取出束带后，患者症状消失。束带侵蚀是可调节胃束带术的一种可能并发症。从安吉尔奇克假体的胃内穿透情况可知，该并发症的临床症状可能较轻。由于大多数接受胃束带术患者的随访时间不足5年，未来可能会诊断出更多类似所述的并发症。
