Snook Kylie L, Ritchie James D
Keyhole Surgery Centre and Royal North Shore Hospital, Sydney, Australia.
Obes Surg. 2003 Oct;13(5):800-2. doi: 10.1381/096089203322509444.
Patients who have undergone gastric banding may develop gastroesophageal reflux disease (GERD) with ulceration. This should be treated with band adjustment, proton pump inhibitors, and routine follow-up endoscopies to confirm healing. Surgical revision or reversal should be considered if the process is resistant to band deflation and medical therapy. Persistent dysphagia must be investigated. A patient is presented whose pre-existing GERD was aggravated by adjustable gastric banding and who developed carcinoma of esophagus with liver metastases 8 years after the insertion of her first band.
接受胃束带手术的患者可能会出现伴有溃疡的胃食管反流病（GERD）。对此应通过调整束带、使用质子泵抑制剂以及进行常规随访内镜检查以确认愈合情况来进行治疗。如果病情对束带放气和药物治疗有抵抗，则应考虑手术修正或逆转。必须对持续的吞咽困难进行调查。本文介绍了一名患者，其既往存在的GERD因可调式胃束带手术而加重，并且在首次佩戴束带8年后发生了伴有肝转移的食管癌。
