Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Maine Medical Center, Portland, ME, USA.
Am J Obstet Gynecol. 2013 Apr;208(4):265-71. doi: 10.1016/j.ajog.2012.08.014. Epub 2012 Aug 10.
Over 80% of patients undergoing bariatric surgery are women, approximately half of whom are of reproductive age. The most common procedure in the United States is the Roux-en-Y gastric bypass. Small bowel obstruction is one of many recognized postoperative complications. For such a serious condition, this entity presents with remarkable subtlety and is easily misdiagnosed, particularly in pregnant women. The consequences of late recognition can be life-threatening to both mother and fetus. We aim to decrease preventable maternal and perinatal morbidity and mortality by revealing diagnostic and therapeutic missteps related to Roux-en-Y gastric bypass-associated small bowel obstruction.
超过 80%接受减肥手术的患者为女性，其中约一半处于生育年龄。在美国，最常见的手术是 Roux-en-Y 胃旁路术。小肠梗阻是许多公认的术后并发症之一。对于如此严重的疾病，这种情况表现出显著的微妙性，很容易被误诊，尤其是在孕妇中。如果未能及时发现，可能会对母亲和胎儿的生命造成威胁。我们旨在通过揭示与 Roux-en-Y 胃旁路相关的小肠梗阻相关的诊断和治疗失误，减少可预防的母婴围产期发病率和死亡率。
