腹腔镜切除Roux-en-Y胃旁路术后出现的胃憩室。

Laparoscopic resection of gastric diverticulum presenting after Roux-en-Y gastric bypass.

作者信息

Goitein David, Papasavas Pavlos K, Gagné Daniel J, Urbandt Jorge, Caushaj Philip F

机构信息

Department of Surgery C, Chaim Sheba Medical Center, Tel Hashomer, Israel.

出版信息

Surg Obes Relat Dis. 2006 Sep-Oct;2(5):528-30. doi: 10.1016/j.soard.2006.06.001.

DOI:10.1016/j.soard.2006.06.001

PMID:17015206

Abstract

Gastric diverticula are extremely rare and may be congenital or acquired. Postgastrectomy formation of gastric diverticula has been attributed to outpouching through the weakened wall of the stomach. When symptomatic, gastric diverticula may cause pain, nausea, dysphagia, and vomiting. Gastric diverticula may also be associated with ectopic mucosa, ulcers, and neoplastic changes. We report a case of gastric cardia diverticulum that became symptomatic after laparoscopic Roux-en-Y gastric bypass. The patient was successfully treated with laparoscopic resection.

摘要

胃憩室极为罕见，可能是先天性的或后天获得的。胃切除术后胃憩室的形成被认为是通过胃壁薄弱处的袋状突出所致。有症状时，胃憩室可能引起疼痛、恶心、吞咽困难和呕吐。胃憩室也可能与异位黏膜、溃疡和肿瘤性改变有关。我们报告一例贲门胃憩室，在腹腔镜Roux-en-Y胃旁路术后出现症状，该患者通过腹腔镜切除术成功治愈。