Pantea S, Pantea C, Duţă C, Mureşan C, Micluş M, Lazăr F, Nediglea I, Papurică M, Bordoş D
Clinica II Chirurgie, Universitatea de Medicină şi Farmacie V. Babeş Timişoara.
Chirurgia (Bucur). 2011 Jan-Feb;106(1):109-12.
In the last years, laparoscopic gastric banding has become a popular surgical option for morbidly obese patients, because of the minimally invasive and easy surgical technique, its reversibility, and the possibility to calibrate the stoma. Gastric necrosis, as a complication of laparoscopic gastric banding, has been rarely reported. We present the case of a 34 -year-old pregnant patient (18 week pregnancy) with 5 days history of abdominal pain. She had undergone laparoscopic adjustable gastric banding 24 months earlier with a body mass index (BMI) of 43 kg/m2. Diagnostic workup was very difficult because the patient was pregnant and we can use only ultrasonography and clinically signs. After initial conservative management, the patient underwent urgent surgery and we found an anterior gastric prolapse through the band with necrosis of the herniated stomach. A longitudinal (sleeve) gastrectomy was performed. The postoperative evolution was god and the patient left our clinic after 9 day. Emergency sleeve gastrectomy could represent a good option to treat, in a safe way.
在过去几年中，由于腹腔镜胃束带术具有微创且手术技术简单、可逆转以及能够校准造口等特点，它已成为病态肥胖患者常用的手术选择。胃坏死作为腹腔镜胃束带术的一种并发症，鲜有报道。我们报告一例34岁的孕妇（妊娠18周），有5天的腹痛病史。她在24个月前接受了腹腔镜可调节胃束带术，当时体重指数（BMI）为43kg/m²。由于患者怀孕，诊断检查非常困难，我们只能使用超声检查和临床体征。经过初步保守治疗后，患者接受了紧急手术，我们发现胃通过束带向前脱垂，脱垂的胃发生坏死。遂进行了纵行（袖状）胃切除术。术后恢复良好，患者在9天后出院。急诊袖状胃切除术可能是一种安全有效的治疗选择。
