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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。

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本文引用的文献

1
Diagnosis and management of partial small bowel obstruction after laparoscopic antecolic antegastric Roux-en-Y gastric bypass for morbid obesity.病态肥胖患者腹腔镜结肠前胃前 Roux-en-Y 胃旁路术后部分小肠梗阻的诊断与处理
J Am Coll Surg. 2006 Feb;202(2):262-8. doi: 10.1016/j.jamcollsurg.2005.10.018.
2
Causes of small bowel obstruction after laparoscopic gastric bypass.腹腔镜胃旁路术后小肠梗阻的原因。
Surg Endosc. 2004 Nov;18(11):1631-5. doi: 10.1007/s00464-004-8804-2. Epub 2004 Oct 11.
3
Percutaneous gastrostomy for treating dilatation of the bypassed stomach after bariatric surgery for morbid obesity.
经皮胃造口术治疗病态肥胖症减肥手术后旁路胃扩张
AJR Am J Roentgenol. 2004 Nov;183(5):1431-5. doi: 10.2214/ajr.183.5.1831431.
4
Bowel obstruction after laparoscopic Roux-en-Y gastric bypass.腹腔镜Roux-en-Y胃旁路术后肠梗阻
Obes Surg. 2004 Feb;14(2):190-6. doi: 10.1381/096089204322857546.
5
Complications after laparoscopic gastric bypass: a review of 3464 cases.腹腔镜胃旁路术后并发症:3464例病例回顾
Arch Surg. 2003 Sep;138(9):957-61. doi: 10.1001/archsurg.138.9.957.