Hawasli Abdelkader, Tarakji Mark, Tarboush Moayad
Department of Minimally Invasive Surgery, St. John Hospital & Medical Center, Detroit, MI, United States.
Department of Minimally Invasive Surgery, St. John Hospital & Medical Center, Detroit, MI, United States.
Int J Surg Case Rep. 2017;30:148-151. doi: 10.1016/j.ijscr.2016.11.050. Epub 2016 Nov 29.
Management of severe reflux after sleeve gastrectomy (SG) usually requires converting to Roux-en-y gastric bypass (RYGB). We present a case of managing this problem using the LINX system.
In February 2015, we performed a laparoscopic placement of LINX system to treat severe reflux after sleeve gastrectomy on a 25-year-old female. The operative time was 47min. There were no intra or postoperative complications. The hospital stay was one day. The postoperative UGI showed no reflux. Ten days after surgery her Quality of life score (QOL) changed from 64/75 to 7/75 after the LINX placement. One year later the patient continued to enjoy no reflux and stayed off medication.
Reflux after sleeve gastrectomy is usually managed by conversion to RYGB by most surgeons. This case report opens the door for an alternative management of this problem while maintaining the original sleeve gastrectomy. This technique is reasonably easy to perform in comparison to the conversion to RYGB with less potential post-operative complications. A one year follow up showed good control of reflux without medication.
Laparoscopic placement of the LINX system to correct severe reflux after sleeve gastrectomy is a safe alternative procedure to conversion to a RYGB.
袖状胃切除术后（SG）严重反流的管理通常需要转换为Roux-en-y胃旁路术（RYGB）。我们介绍一例使用LINX系统处理该问题的病例。
2015年2月，我们为一名25岁女性进行了腹腔镜下LINX系统置入术，以治疗袖状胃切除术后的严重反流。手术时间为47分钟。术中及术后均无并发症。住院时间为一天。术后上消化道造影显示无反流。手术后十天，她的生活质量评分（QOL）从64/75变为LINX置入术后的7/75。一年后，患者持续无反流且无需服药。
大多数外科医生通常通过转换为RYGB来处理袖状胃切除术后的反流。本病例报告为在保留原袖状胃切除术的同时，提供了处理该问题的另一种方法。与转换为RYGB相比，该技术操作相对容易，术后潜在并发症较少。一年的随访显示，无需药物即可良好控制反流。
腹腔镜下置入LINX系统以纠正袖状胃切除术后的严重反流是一种安全的替代手术，可替代转换为RYGB的手术。
