Department of Surgery, International Medical Centre, IMC Hospital, Istiklal cad, Mersin, Turkey.
Obes Surg. 2010 Apr;20(4):526-9. doi: 10.1007/s11695-009-9821-y. Epub 2009 Mar 18.
Migration of intraabdominal catheters into the bowel is a well-known phenomenon of uncertain cause. Intragastric migration of adjustable gastric banding is not an uncommon complication, with a reported prevalence of 1-11% in most series. Migration of the connecting tube into the small bowel lumen or colonic lumen is very rare. We present a case study of a female who had adjustable gastric banding with persistent wound infection at the access port side that failed with conservative treatment. Migration of the connecting tube into the jejunal lumen was observed at laparoscopy. The connecting tube and port were removed and the band remained. Small bowel defects were repaired laparoscopically. Migration of band tubing into the bowel should be considered in the clinical setting of relapsing port-side infection.
腹腔内导管迁移到肠道是一种已知但原因不明的现象。可调胃束带术的胃内迁移不是一种罕见的并发症，大多数系列报道的患病率为 1-11%。连接管迁移到小肠腔或结肠腔非常罕见。我们报告了一例女性病例，她接受了可调胃束带术，在接入端口侧持续存在伤口感染，经保守治疗无效。腹腔镜检查观察到连接管进入空肠腔。连接管和端口被移除，束带仍然存在。小肠缺损在腹腔镜下修复。在反复发作的端口侧感染的临床情况下，应考虑带管迁移到肠道。
