D'Hondt Mathieu, Vansteenkiste Franky, Van Rooy Frank, Devriendt Dirk
Department of Abdominal Surgery, AZ Groeninge Hospital Campus St.-Niklaas, Kortrijk, Belgium.
Obes Surg. 2006 Nov;16(11):1548-51. doi: 10.1381/096089206778870076.
Because of regain of weight to BMI 37.1 kg/m(2) 6 years after a VBG, a 41-year-old female now underwent revision to divided Roux-en-Y gastric bypass, performed laparoscopically. 12 days postoperatively, she started bleeding from the main stomach, and CT scan revealed that the bypassed stomach was distended with clot. She was treated conservatively and stopped bleeding. Upper GI series 2 weeks postoperatively revealed a large gastrogastric fistula between the tiny pouch and the bypassed stomach. We initially planned to close the fistula. However, upper GI series 2 months and 4 months postoperatively showed no sign of gastrogastric fistula, and proton pump inhibitors were stopped. At 1 year after gastric bypass, our patient has had good weight loss.
一位41岁女性在胃旁路手术后6年体重恢复至BMI 37.1 kg/m²，现接受腹腔镜下改为 Roux-en-Y 胃旁路术。术后12天，她开始出现胃主干出血，CT扫描显示旷置胃内充满血凝块。她接受了保守治疗并止血。术后2周的上消化道造影显示，小胃囊与旷置胃之间存在巨大胃胃瘘。我们最初计划封闭瘘口。然而，术后2个月和4个月的上消化道造影显示胃胃瘘无迹象，遂停用质子泵抑制剂。胃旁路术后1年，我们的患者体重减轻情况良好。
