Herron Daniel, Roohipour Ramin
Department of Surgery, Mount Sinai School of Medicine, 1 Gustave L. Levy Place, #1259, New York, NY 10029, USA.
Abdom Imaging. 2012 Oct;37(5):712-8. doi: 10.1007/s00261-012-9866-6.
Roux-en-Y gastric bypass and sleeve gastrectomy are two of the most common bariatric procedures performed in 2011. Although the complication rates associated with these procedures are low, the consequences of these complications are significant and can be associated with high morbidity and mortality. Timely diagnosis and proper management of these complications are extremely important. The most commonly used radiologic studies in bariatric surgery are the upper GI contrast study and the CT scan, which are used to rule out leak, obstruction, perforation, anastomotic stricture, or pouch dilatation. As with all imaging studies, a negative result should not override strong clinical suspicion of a complication.
Roux-en-Y胃旁路术和袖状胃切除术是2011年实施的两种最常见的减肥手术。尽管与这些手术相关的并发症发生率较低，但这些并发症的后果却很严重，可能与高发病率和死亡率相关。及时诊断和妥善处理这些并发症极其重要。减肥手术中最常用的放射学检查是上消化道造影和CT扫描，用于排除渗漏、梗阻、穿孔、吻合口狭窄或胃囊扩张。与所有影像学检查一样，阴性结果不应推翻对并发症的强烈临床怀疑。
