Department of Internal Medicine, Cleveland Clinic, Cleveland, Ohio, USA.
Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA and.
Gastroenterol Rep (Oxf). 2016 Feb;4(1):84-6. doi: 10.1093/gastro/gou056. Epub 2014 Aug 24.
This case illustrates a rare cause of gastro-intestinal bleeding following bariatric surgery. Though it is essential to rule out common causes of variceal formation accompanied by intermittent, profuse bleeding, there should be a high degree of suspicion of this rare etiology in patients who have previously undergone alteration of their anatomy, especially Roux-en-Y gastric bypass (RYGB). The case emphasizes the need for a multidisciplinary medical-surgical team in evaluating and treating patients who present with complex intra-abdominal pathology.
本病例说明了一种罕见的减重手术后胃肠道出血原因。尽管排除常见的静脉曲张形成原因并伴有间歇性、大量出血至关重要，但对于先前经历过解剖结构改变的患者，尤其是 Roux-en-Y 胃旁路术（RYGB）患者，应高度怀疑这种罕见病因。该病例强调了需要多学科医疗-手术团队来评估和治疗具有复杂腹腔内病理的患者。
