Patel Pranav H, Slesser Alistair Ap, Khalil Aoff, Bassett Oliver, Natarajan Kt, Livingstone Jeremy I
Department of General Surgery, Watford General Hospital, Vicarage Road, Watford, UK.
J Med Case Rep. 2012 Mar 7;6:78. doi: 10.1186/1752-1947-6-78.
Bariatric surgery is on the increase throughout the world. Jejunoileal bypass bariatric procedures have fallen out of favor in western surgical centers due to the high rate of associated complications. They are, however, performed routinely in other centers and as a consequence of health tourism, management of complications related to these procedures may still be encountered.
We describe a rare case of small bowel obstruction in a 45-year-old British Caucasian woman, secondary to a volvulus of the jejunoileal anastomosis following bariatric bypass surgery. The pre-operative diagnosis was confirmed by radiology. We describe a successful surgical technique for this rare complication.
Bariatric surgery may be complicated by bowel obstruction. Early imaging is vital for diagnosis and effective management. The use of our surgical technique provides a simple and effective approach for the successful management of this bariatric complication.
减肥手术在全球范围内呈上升趋势。由于相关并发症发生率高，空肠回肠旁路减肥手术在西方外科中心已不再受欢迎。然而，在其他中心仍常规进行此类手术，并且由于医疗旅游的原因，仍可能遇到与这些手术相关的并发症的处理问题。
我们描述了一名45岁英国白种女性因减肥旁路手术后空肠回肠吻合口扭转继发小肠梗阻的罕见病例。术前诊断经放射学检查得以证实。我们描述了针对这种罕见并发症的一种成功的手术技术。
减肥手术可能并发肠梗阻。早期影像学检查对诊断和有效治疗至关重要。我们的手术技术的应用为成功处理这种减肥并发症提供了一种简单有效的方法。
