Decker G Anton, DiBaise John K, Leighton Jonathan A, Swain James M, Crowell Michael D
Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Blvd., Scottsdale, AZ 85259, USA.
Obes Surg. 2007 Nov;17(11):1529-33. doi: 10.1007/s11695-008-9416-z.
Bariatric surgery is the most effective treatment for severe obesity. After surgery, patients may complain of gastrointestinal symptoms but their altered anatomy can make investigations difficult to perform or interpret. In particular, the Roux-en-Y gastric bypass (RYGBP) creates an excluded segment that is not easily accessible. We present a case illustrating some of the difficulties encountered when investigating the RYGBP patient complaining of nonspecific GI symptoms. Options are discussed for examining the excluded segment, and the diagnosis and significance of small intestine bacterial overgrowth in the RYGBP patient is reviewed.
减肥手术是治疗重度肥胖最有效的方法。术后，患者可能会抱怨胃肠道症状，但解剖结构的改变会使检查难以实施或解释。特别是，Roux-en-Y胃旁路术（RYGBP）会形成一个不易触及的隔离段。我们报告一例病例，说明在对主诉非特异性胃肠道症状的RYGBP患者进行检查时遇到的一些困难。讨论了检查隔离段的方法，并对RYGBP患者小肠细菌过度生长的诊断及意义进行了综述。
