Sapalidis K, Liavas L, Panteli N, Kosmatopoulos E, Anastasiadis I, Charalambides S, Kesisoglou I, Tziris N
3rd Department of Surgery, AHEPA University Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Curr Health Sci J. 2013 Apr;39(2):118-20. Epub 2013 May 21.
Introduction. Laparoscopic gastric banding is a first line bariatric procedure that is performed worldwide and can achieve substantial weight loss. Despite its many advantages, as the least invasive bariatric procedure, it has several complications like gastric prolapse, stoma obstruction and migration of the gatstric band. Rarely are these complications life threatening, but re-operation is usually the only treatment. Case presentation. We report a rare case of intrajejunal migration of an adjustable gastric band that was placed laparoscopically four years ago. Conclusion. Gastric band migration is a rather common complication of laparoscopic gastric banding, but intrajejunal migration is very rare and requires high clinical suspicion, close follow-up and thorough pre-operative investigation so as to avoid intraoperative surprises and retrieve the displaced gastric band safely.
引言。腹腔镜胃束带术是一种在全球范围内开展的一线减肥手术,可实现显著的体重减轻。尽管它有诸多优点,作为侵入性最小的减肥手术,但它也有一些并发症,如胃脱垂、吻合口梗阻和胃束带移位。这些并发症很少危及生命,但再次手术通常是唯一的治疗方法。病例报告。我们报告一例罕见的可调节胃束带空肠内移位病例,该胃束带于四年前通过腹腔镜置入。结论。胃束带移位是腹腔镜胃束带术较为常见的并发症,但空肠内移位非常罕见,需要高度的临床怀疑、密切随访和全面的术前检查,以避免术中出现意外情况并安全取出移位的胃束带。