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腹腔镜胃束带术术后一种罕见的并发症：连接管穿入肾门。

A rare complication after laparoscopic gastric banding: connecting-tube penetration into the hilus of the kidney.

作者信息

Sneijder R, Cense H A, Hunfeld M, Breederveld R S

机构信息

Department of Surgery, Red Cross Hospital, Vondellaan 13, Beverwijk, The Netherlands.

出版信息

Obes Surg. 2009 Apr;19(4):531-3. doi: 10.1007/s11695-008-9777-3. Epub 2008 Dec 17.

DOI:10.1007/s11695-008-9777-3
PMID:19089520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7419477/
Abstract

Laparoscopic adjustable gastric banding is a common operation for morbid obesity. Late complications mainly originate from either the injection port (dislocation, infection, leakage) or the gastric band (pouch dilatation, slippage, leakage, gastric erosion). Complications from the tube, connecting the port with the band, are rarely described. We report the penetration of a loose connecting tube into the kidney 8 months after removal of an infected injection port.

摘要

腹腔镜可调节胃束带术是治疗病态肥胖的常见手术。晚期并发症主要源于注射端口（脱位、感染、渗漏）或胃束带（胃囊扩张、滑脱、渗漏、胃糜烂）。连接端口与束带的导管引发的并发症鲜有报道。我们报告了1例在移除感染的注射端口8个月后，松动的连接管刺入肾脏的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a87/7419477/a56b0d0aea62/11695_2008_9777_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a87/7419477/f18d28710f3d/11695_2008_9777_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a87/7419477/a56b0d0aea62/11695_2008_9777_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a87/7419477/f18d28710f3d/11695_2008_9777_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a87/7419477/a56b0d0aea62/11695_2008_9777_Fig2_HTML.jpg

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引用本文的文献

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BJR Case Rep. 2018 Dec;4(4):20170097. doi: 10.1259/bjrcr.20170097. Epub 2018 May 24.
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Case Rep Surg. 2014;2014:146980. doi: 10.1155/2014/146980. Epub 2014 May 5.
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本文引用的文献

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J Gastrointest Surg. 2008 May;12(5):983-4. doi: 10.1007/s11605-007-0304-y. Epub 2007 Sep 18.
2
Intracolonic tubing migration: an unusual complication of the silastic adjustable gastric band (LapBand).结肠内导管移位：硅橡胶可调节胃束带（LapBand）的一种罕见并发症。
Surg Obes Relat Dis. 2007 Jul-Aug;3(4):486-7. doi: 10.1016/j.soard.2007.03.245. Epub 2007 Jun 12.
3
Band erosion following gastric banding: how to treat it.
内镜下处理带连接管的可调节胃束带穿透：病例报告。
Obes Facts. 2011;4(3):244-7. doi: 10.1159/000329830. Epub 2011 Jun 14.
4
Simultaneous gastric and colic laparoscopic adjustable gastric band migration. Complication of bariatric surgery.胃和结肠腹腔镜可调胃束带同时迁移。减重手术的并发症。
Obes Surg. 2010 Jun;20(6):796-800. doi: 10.1007/s11695-009-0046-x. Epub 2009 Dec 22.
胃束带术后束带侵蚀：如何治疗
Obes Surg. 2007 Mar;17(3):329-33. doi: 10.1007/s11695-007-9060-z.
4
Short- and long-term results of laparoscopic gastric banding for morbid obesity.腹腔镜胃束带术治疗病态肥胖的短期和长期效果
Langenbecks Arch Surg. 2008 Mar;393(2):199-205. doi: 10.1007/s00423-007-0170-9. Epub 2007 Mar 27.
5
Adjustable gastric banding for morbid obesity. Our experience.可调节胃束带术治疗病态肥胖：我们的经验
Ann Ital Chir. 2006 Sep-Oct;77(5):397-400.
6
Band erosion and passage, causing small bowel obstruction.束带侵蚀与通过，导致小肠梗阻。
Obes Surg. 2006 Dec;16(12):1679-82. doi: 10.1381/096089206779319446.
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Histologic study of tissue reaction to the gastric band: does it contribute to the problem of band erosion?胃束带组织反应的组织学研究：它是否会导致束带侵蚀问题？
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