经皮胃引流术治疗胃旁路术后小肠梗阻

Percutaneous gastric drainage as a treatment for small bowel obstruction after gastric bypass.

作者信息

Hamoui Nahid, Crookes Peter F, Kaufman Howard S

机构信息

Department of Surgery, University of Southern California, Los Angeles, California 90033, USA.

出版信息

Obes Surg. 2007 Oct;17(10):1411-2. doi: 10.1007/s11695-007-9223-y.

DOI:10.1007/s11695-007-9223-y

PMID:18098404

Abstract

The authors report the case of a patient who developed small bowel obstruction after laparoscopic gastric bypass. Imaging revealed an obstruction at the enteroenterostomy resulting in dilation of the bypassed stomach and proximal small bowel. The bypassed stomach was percutaneously drained using CT guidance, leading to resolution of the small bowel obstruction. Biliopancreatic limb obstructions can be successfully treated non-operatively after gastric bypass.

摘要

作者报告了一例腹腔镜胃旁路术后发生小肠梗阻的患者。影像学检查显示肠肠吻合口处梗阻，导致旷置胃和近端小肠扩张。在CT引导下经皮引流旷置胃，使小肠梗阻得以缓解。胃旁路术后胆胰支梗阻可通过非手术方式成功治疗。