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Roux-en-Y胃旁路手术后十二指肠溃疡出血

Bleeding duodenal ulcer after roux-en-Y gastric bypass surgery.

作者信息

Zerey Marc, Sigmon Lee B, Kuwada Timothy S, Heniford B Todd, Sing Ronald F

机构信息

Department of General Surgery, Carolinas Medical Center, 1000 Blythe Blvd, MEB 601, Charlotte, NC 28203-5812, USA.

出版信息

J Am Osteopath Assoc. 2008 Jan;108(1):25-7.

PMID:18258698
Abstract

Postoperative upper gastrointestinal bleeding, though rare, is a potentially fatal complication of gastric bypass surgery that usually occurs a few months postoperation. The current report describes a 57-year-old man with a bleeding duodenal ulcer who underwent Roux-en-Y gastric bypass surgery 12 years earlier. With an increasing number of gastric bypass surgeries performed each year, physicians must be aware of their patients' altered gastrointestinal anatomy and physiology-as well as the potential for pathophysiology.

摘要

术后上消化道出血虽然罕见,但却是胃旁路手术潜在的致命并发症,通常发生在术后数月。本报告描述了一名57岁男性,他12年前因十二指肠溃疡出血接受了Roux-en-Y胃旁路手术。随着每年进行的胃旁路手术数量不断增加,医生必须了解患者胃肠道解剖结构和生理功能的改变,以及病理生理学的可能性。

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