Iorgulescu A, Turcu F, Iordache N
General Surgery Clinic, "Sf. Ioan" Hospital, Bucharest.
J Med Life. 2014 Sep 15;7(3):339-42. Epub 2014 Sep 25.
Obesity is a disease which has become more prevalent in Romania. Bariatric surgical procedures are among the treatment options for obese patients. Obesity and the metabolic disorders induced by it are risk factors for gallstones formation and their complications. ERCP is a minimally invasive therapeutic procedure indicated in the treatment of choledochal lithiasis and its complications. ERCP is generally considered the most difficult endoscopic procedure from the technical point of view. The authors have proposed to consider the possibility of performing therapeutic ERCP in patients who have undergone bariatric procedures. Literature data are reviewed and the case of a patient treated in a minimally invasive (laparoendoscopic) way for cholecyst and choledocholithiasis after longitudinal gastrectomy is presented.
肥胖是一种在罗马尼亚愈发普遍的疾病。减肥外科手术是肥胖患者的治疗选择之一。肥胖及其引发的代谢紊乱是胆结石形成及其并发症的危险因素。内镜逆行胰胆管造影术(ERCP)是一种用于治疗胆总管结石及其并发症的微创治疗方法。从技术角度来看,ERCP通常被认为是最具难度的内镜操作。作者们提议考虑对接受过减肥手术的患者进行治疗性ERCP的可能性。本文回顾了文献数据,并呈现了一例在接受纵向胃切除术后以微创(腹腔镜内镜联合)方式治疗胆囊和胆总管结石的患者病例。