Tuyeras G, Pappalardo E, Msika S
Hôpital Louis Mourier, Paris, France.
J Surg Case Rep. 2012 Jul 1;2012(7):1. doi: 10.1093/jscr/2012.7.1.
Bariatric surgery as laparoscopic Roux-en-Y gastric bypass (LRYGB) is increasing throughout the world and women represent the majority (70%) of patients. Most of them are of reproductive age. As a consequence, surgeons will have to treat more and more pregnant patients with a history of LRYGB for surgical abdominal pain. Reported incidence of small bowel obstruction (SBO) varies from 1.5% to 3.5% after LRYGB including internal hernias, intussusception and volvulus. As two cases of maternal postoperative death have been reported in the literature, diagnosis and surgical treatment shouldn't be delayed especially during pregnancy. To underline the necessity of a rapid diagnosis and surgical treatment, we reported two cases of severe SBO during pregnancy.
作为腹腔镜Roux-en-Y胃旁路术（LRYGB）的减肥手术在全球范围内日益增多，女性占患者多数（70%）。她们大多处于育龄期。因此，外科医生将不得不治疗越来越多有LRYGB病史且因手术性腹痛而怀孕的患者。LRYGB术后小肠梗阻（SBO）的报告发生率在1.5%至3.5%之间，包括内疝、肠套叠和肠扭转。由于文献中已报道两例孕产妇术后死亡病例，因此不应延迟诊断和手术治疗，尤其是在孕期。为强调快速诊断和手术治疗的必要性，我们报告了两例孕期严重SBO病例。
