White Nicole B, Gibbs Karen E, Goodwin Aimee, Teixeira Julio
Department Of Surgery, Montefiore Institute for Minimally Invasive Surgery, Albert Einstein College of Medicine, Bronx, New York, USA.
Obes Surg. 2003 Dec;13(6):948-50. doi: 10.1381/096089203322618849.
Gastric bezoars may be formed in the normal stomach as a result of foreign body consecrations of various objects with inability to pass through the pylorus. Classically, most bezoars occur as a complication of gastric surgery which creates a low acid environment, decreased peristalsis, and abnormal pyloric function. Bariatric surgery has been associated with a low incidence of bezoar formation. However, to date there has been no documentation of bezoars occurring after laparoscopic adjustable gastric banding, which is one of the surgical options available for the treatment of morbid obesity. We report a case of a gastric bezoar that occurred 8 months after gastric banding.
胃石可能在正常胃内形成,原因是各种物体的异物凝结且无法通过幽门。传统上,大多数胃石是胃手术的并发症,胃手术会造成低酸环境、蠕动减弱和幽门功能异常。减肥手术与胃石形成的发生率较低有关。然而,迄今为止,尚无腹腔镜可调节胃束带术后发生胃石的记录,而腹腔镜可调节胃束带术是治疗病态肥胖的手术选择之一。我们报告一例胃束带术后8个月发生胃石的病例。