胃壁坏死作为腹腔镜胃束带术的晚期并发症，由器官轴型扭转引起。
Gastric wall necrosis from organo-axial volvulus as a late complication of laparoscopic gastric banding.
作者信息
Bortul Marina, Scaramucci Monica, Tonello Cinzia, Spivach Arrigo, Liguori Gennaro
机构信息
Department of Surgery, University of Studies, Trieste, Italy.
出版信息
Obes Surg. 2004 Feb;14(2):285-7. doi: 10.1381/096089204322857726.
We present a case of massive gastric wall necrosis associated with volvulus of the stomach occurring 17 months after laparoscopic gastric banding. The 19- year-old female was admitted to our hospital with acute abdominal pain with rapid deterioration from massive necrosis of a distended stomach which perforated distal to the gastric band, accompanied by splenic infarction. Total gastrectomy and spenectomy were required. We present this very rare complication which should be recognized and treated early, so that a less drastic operation is possible.
我们报告一例腹腔镜胃束带术后17个月发生胃扭转并伴有大面积胃壁坏死的病例。该19岁女性因急性腹痛入院，胃扩张导致的大面积坏死在胃束带远端穿孔，病情迅速恶化，并伴有脾梗死。患者接受了全胃切除术和脾切除术。我们报告了这种非常罕见的并发症，应尽早识别并治疗，以便能采取创伤较小的手术。
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