Rymaruk S, Owers Ce, Ackroyd R
Department of Upper GI surgery, Northern General Hospital, Sheffield, UK.
J Surg Case Rep. 2012 May 1;2012(5):1. doi: 10.1093/jscr/2012.5.1.
Laparoscopic gastric bypass is becoming a frequently performed bariatric operation for patients with obesity. However, bariatric surgery has inherent risks and complications, which are further potentiated by the high risk nature of bariatric patients. These complications can be either site specific i.e. anastomotic leaks, or systemic i.e. venous thromboembolism, however they can intimately related. We present the case of one patient undergoing routine gastric bypass complicated postoperatively by recurrent intra-abdominal collections and sepsis, and aortic thrombosis with distal embolisation.
腹腔镜胃旁路手术正成为肥胖患者中经常施行的减肥手术。然而,减肥手术存在固有风险和并发症,而肥胖患者的高风险性质会进一步加剧这些风险和并发症。这些并发症可能是部位特异性的,即吻合口漏,也可能是全身性的,即静脉血栓栓塞,然而它们可能密切相关。我们报告一例患者,其接受常规胃旁路手术后出现复发性腹腔内积液和脓毒症,以及主动脉血栓形成伴远端栓塞。