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腹腔镜Roux-en-Y胃旁路术后肠套叠

Intussusception after laparoscopic Roux-en-Y gastric bypass.

作者信息

Zainabadi Kambiz, Ramanathan Ramesh

机构信息

Department of Minimally Invasive and Bariatric Surgery, University of Pittsburgh Medical Center, 3380 Blvd of the Allies, Suite 390, Pittsburgh, PA 15213, USA.

出版信息

Obes Surg. 2007 Dec;17(12):1619-23. doi: 10.1007/s11695-007-9291-z. Epub 2007 Nov 28.

Abstract

Intussusception after open Roux-en-Y gastric bypass procedure (RYGBP) is a rare complication. We present a retrospective review of three cases of antegrade intussusception occurring after laparoscopic RYGBP. To our knowledge, these are the first documented cases of intussusception after laparoscopic RYGBP. We describe the clinical presentation and our management of these three cases. Furthermore, we believe that the initial clinical presentation, radiographic findings, and management of these patients may be different than those patients who have undergone an open RYGBP. With increasing popularity of laparoscopic RYGBP, we are likely to see more of this entity.

摘要

开放 Roux-en-Y 胃旁路手术(RYGBP)后发生肠套叠是一种罕见的并发症。我们对三例腹腔镜 RYGBP 术后发生的顺行性肠套叠病例进行了回顾性研究。据我们所知,这些是腹腔镜 RYGBP 术后肠套叠的首例文献记载病例。我们描述了这三例病例的临床表现及处理情况。此外,我们认为这些患者的初始临床表现、影像学检查结果及处理方式可能与接受开放 RYGBP 的患者不同。随着腹腔镜 RYGBP 的日益普及,我们可能会见到更多此类病例。

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