Clinical Hospital University of Chile, Santiago, Chile.
Obes Surg. 2013 Sep;23(9):1481-6. doi: 10.1007/s11695-013-0963-6.
Laparoscopic sleeve gastrectomy (LSG) is an effective bariatric procedure. The objective of this study is to describe a series of patients who were subjected to LSG and then developed gastric stenosis, with an emphasis on their treatment and a discussion of the possible underlying mechanisms. From January 2006 to October 2012, 717 patients with morbid obesity underwent LSG in our institution. Out of 717 patients, 571 (79.6 %) were women. The mean age was 36.9 years with a BMI of 37.3 kg/m(2). Five patients (0.69 %) developed gastric stenosis. Treatment of the stenosis was endoscopic dilatations; however, one patient required a conversion to laparoscopic Roux-en-Y gastric bypass. Stenosis after LSG is rare but requires early diagnosis and treatment.
腹腔镜袖状胃切除术(LSG)是一种有效的减肥手术。本研究旨在描述一组接受 LSG 后出现胃狭窄的患者,重点介绍他们的治疗方法,并讨论可能的潜在机制。自 2006 年 1 月至 2012 年 10 月,我院共有 717 例病态肥胖患者接受了 LSG。717 例患者中,571 例(79.6%)为女性。平均年龄为 36.9 岁,BMI 为 37.3kg/m(2)。5 例(0.69%)患者出现胃狭窄。狭窄的治疗是内镜扩张,但有 1 例患者需要转为腹腔镜 Roux-en-Y 胃旁路术。LSG 后发生狭窄虽然罕见,但需要早期诊断和治疗。