Salar Omer, Waraich Naseem, Singh Rajeev, Awan Altaf
Department of General Surgery, Royal Derby Hospital, Derby, UK.
BMJ Case Rep. 2013 Jan 17;2013:bcr2012007737. doi: 10.1136/bcr-2012-007737.
Complications of laparoscopic adjustable gastric bands (LAGB) are well documented and may include migration, erosion, slippage, infection, pouch dilatation and, rarely, gastric perforation. We describe a rare case involving three such complications simultaneously, namely, gastric erosion, infection and migration through the pylorus-causing proximal jejunal obstruction. As LAGB is now the commonest performed bariatric procedure for the treatment of morbid obesity, we encourage the practising surgeon to be vigilant of these rare but potentially life-threatening complications.
腹腔镜可调节胃束带术(LAGB)的并发症已有充分记录,可能包括移位、侵蚀、滑脱、感染、胃囊扩张,以及罕见的胃穿孔。我们描述了一例罕见病例,该病例同时出现了三种此类并发症,即胃侵蚀、感染以及通过幽门移位导致近端空肠梗阻。由于LAGB目前是治疗病态肥胖最常用的减肥手术,我们鼓励执业外科医生对这些罕见但可能危及生命的并发症保持警惕。