腹腔镜袖状胃切除术后胃结肠瘘的管理

Management of gastro-colic fistula after laparoscopic sleeve gastrectomy.

作者信息

Bhasker Aparna Govil, Khalifa Hind, Sood Amit, Lakdawala Muffazal

机构信息

Center for obesity and digestive surgery, Mumbai, India; Bariatric and metabolic section of the Institute of Minimally Invasive Surgical Sciences and Research Centery, Saifee Hospital, Mumbai.

出版信息

Asian J Endosc Surg. 2014 Nov;7(4):314-6. doi: 10.1111/ases.12122.

DOI:10.1111/ases.12122

PMID:25354376

Abstract

Laparoscopic sleeve gastrectomy (LSG) is the most common bariatric procedure performed in Asia. Staple-line leaks post LSG are notoriously difficult to treat. Here we report a case of a gastro-colic fistula after a post-LSG leak. While reperforming laparoscopy and/or stenting remain the mainstay of early leak management, chronic complications such as a gastro-colic fistula are rare and require a tailor-made approach. Stenting alone has a limited role in managing chronic fistulas after LSG.

摘要

腹腔镜袖状胃切除术（LSG）是亚洲最常见的减肥手术。LSG术后吻合口漏极难治疗。在此，我们报告一例LSG术后漏导致胃结肠瘘的病例。再次进行腹腔镜检查和/或置入支架仍是早期漏处理的主要方法，而胃结肠瘘等慢性并发症较为罕见，需要量身定制的治疗方法。单纯置入支架在处理LSG术后慢性瘘方面作用有限。