Tucker Olga N, Escalante-Tattersfield Tomas, Szomstein Samuel, Rosenthal Raul J
The Bariatric Institute and Section of Minimally Invasive Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA.
Obes Surg. 2007 Dec;17(12):1549-54. doi: 10.1007/s11695-007-9273-1. Epub 2007 Nov 27.
Small bowel obstruction (SBO) after bariatric surgery is well documented. Although infrequent, it can be associated with considerable morbidity and mortality. The laparoscopic approach to Roux-en-Y gastric bypass (LRYGB) has gained widespread popularity for the treatment of morbid obesity since its first description in 1994. One of the theoretical advantages of a minimally invasive technique is reduced intraabdominal adhesions and, consequently, diminution in the incidence of SBO. However, the laparoscopic approach demonstrates a similar rate of obstruction to the open procedure. In this review, an electronic literature search was undertaken of Medline, Embase, and Cochrane databases for the period January 1990 to October 2006 on the history, presentation, clinical evaluation, preoperative diagnostic techniques, and management of SBO after LRYGB compared to the open approach.
减肥手术后发生小肠梗阻（SBO）已有充分记录。尽管并不常见，但它可能会导致相当高的发病率和死亡率。自1994年首次描述以来，腹腔镜下Roux-en-Y胃旁路术（LRYGB）已在治疗病态肥胖症方面得到广泛应用。微创技术的一个理论优势是减少腹腔内粘连，从而降低SBO的发生率。然而，腹腔镜手术显示出与开放手术相似的梗阻发生率。在本综述中，我们对1990年1月至2006年10月期间的Medline、Embase和Cochrane数据库进行了电子文献检索，以比较LRYGB术后SBO与开放手术在病史、表现、临床评估、术前诊断技术和治疗方面的情况。
