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“旁路带后”带管导致小肠系膜套叠和腹痛。

Lassoing of the small bowel mesentery and abdominal pain caused by band tubing after "band on bypass".

机构信息

Phoenix Health, Ruthin, United Kingdom.

出版信息

Surg Obes Relat Dis. 2013 Jan-Feb;9(1):147-8. doi: 10.1016/j.soard.2012.09.007. Epub 2012 Oct 4.

DOI:10.1016/j.soard.2012.09.007
PMID:23219587
Abstract

Weight regain after laparoscopic gastric bypass can be difficult to manage. A common finding is an enlarged gastrojejunal complex (dilated gastric pouch and/or jejunum, dilated gastrojejunal anastomosis). Revision of the gastrojejunal complex can be accomplished by surgical resection, endoscopic plication techniques, or more recently, placement of an adjustable band around the dilated gastric pouch ("band on bypass," BoB). We present an unusual complication of the BoB procedure, in which the band tubing looped around the small bowel causing severe abdominal pain.

摘要

腹腔镜胃旁路手术后的体重反弹很难控制。一种常见的发现是胃肠吻合术（扩张的胃囊和/或空肠、扩张的胃空肠吻合术）增大。胃肠吻合术的修复可以通过手术切除、内镜皱缩技术或最近在扩张的胃囊周围放置可调节带（“旁路带”，BoB）来完成。我们报告了 BoB 手术的一种罕见并发症，即带管缠绕在小肠上导致严重腹痛。

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