Rogers Ann M, Cherenfant Jovenel, Kipnis Seth, Haluck Randy S
Department of Surgery, Division of Minimally Invasive and Bariatric Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, Suite C-4628, P.O. Box 850 MC H149, Hershey, PA 17036, USA.
Obes Surg. 2007 Jul;17(7):980-2. doi: 10.1007/s11695-007-9154-7.
A rare cause of intestinal obstruction after laparoscopic Roux-en-Y gastric bypass (RYGBP) is reported. A 42-year-old woman developed nausea, vomiting and dilated loops of small bowel upon commencing oral intake the day after RYGBP surgery. A CT scan demonstrated a loop of bowel twisting around the abdominal drainage catheter. After removal of the catheter, the patient's symptoms immediately resolved and her subsequent course was uneventful. We suggest avoidance of drainage catheters after uncomplicated laparoscopic RYGBP.
报道了腹腔镜Roux-en-Y胃旁路术（RYGBP）后肠梗阻的一种罕见原因。一名42岁女性在RYGBP手术后第二天开始经口进食时出现恶心、呕吐和小肠肠袢扩张。CT扫描显示一段肠管围绕腹腔引流管扭转。拔除引流管后，患者症状立即缓解，随后病程顺利。我们建议在无并发症的腹腔镜RYGBP术后避免使用引流管。
