Hospices Civils de Lyon, Hospital E. Herriot, Department of Digestive Diseases, Lyon, France.
Dis Esophagus. 2011 Aug;24(6):401-3. doi: 10.1111/j.1442-2050.2010.01140.x. Epub 2010 Nov 18.
Esophageal and gastric pouch dilatations are not uncommon after laparoscopic adjustable gastric banding for morbid obesity. Most of the cases are treated by gastric band deflation or removal. We report here the case of a 44-year-old woman with vomiting and severe dysphagia persisting despite gastric band removal, in relation with a scar stenosis and a gastric pouch trapped in the thorax, treated by laparoscopic surgery. This case underlines the usefulness of high-resolution manometry in the diagnostic work-up of these often difficult cases.
胃食管囊扩张在病态肥胖的腹腔镜可调胃束带手术后并不少见。大多数病例通过胃束带放气或移除来治疗。我们在此报告一例 44 岁女性，尽管已移除胃束带，但仍持续呕吐和严重吞咽困难，与疤痕狭窄和胃囊卡在胸腔有关，通过腹腔镜手术治疗。该病例强调了高分辨率测压在这些通常困难病例的诊断中的作用。
