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腹腔镜可调节胃束带术所致多种并发症的内镜治疗：一项东亚地区的研究

Endoscopic Treatment of Diverse Complications Caused by Laparoscopic Adjustable Gastric Banding: A Study in Eastern Asia.

作者信息

Kim Su Young, Oh Kyong Yong, Chung Jun-Won, Kim Yoon Jae, Kim Kyoung Oh, Kwon Kwang An, Park Dong Kyun, Kim Kyoung Kon, Kim Seong Min

机构信息

Divison of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.

Department of Family Medicine, Gachon University Gil Medical Center, Incheon, Korea.

出版信息

Gut Liver. 2017 Jul 15;11(4):497-503. doi: 10.5009/gnl16089.

DOI:10.5009/gnl16089
PMID:28335099
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5491084/
Abstract

BACKGROUND/AIMS: The use of laparoscopic adjustable gastric banding (LAGB) is increasing proportionally with the obesity epidemic. However, some postoperative complications have been highlighted as major problems associated with LAGB. There is no consensus concerning the endoscopic management of these adverse events. The aim of this study was to retrospectively review the feasibility and effectiveness of endoscopic treatment for LAGB complications.

METHODS

We retrospectively evaluated 352 patients who underwent LAGB between 2011 and 2015. LAGB-associated complications developed in 26 patients (7.4%). This study involved six patients (1.7%) who received endoscopic treatment.

RESULTS

Types of LAGB-induced complications in our series included intragastric migration (n=3), gastric leaks (n=2), and gastric fistulas (n=1). The endoscopic treatment of these complications was successful in four of the six patients. Endoscopic band removal was successful in two patients. All gastric leaks were successfully closed via an endoscopic procedure. In two cases (intragastric migration and gastric fistula), endoscopic treatment was not sufficient, and surgery was performed.

CONCLUSIONS

Endoscopic procedures afforded acceptable treatment of band migration and gastric leaks after LAGB. However, the results were poor in patients with gastric fistula.

摘要

背景/目的：随着肥胖症的流行，腹腔镜可调节胃束带术（LAGB）的使用比例不断增加。然而，一些术后并发症已被视为与LAGB相关的主要问题。对于这些不良事件的内镜处理尚无共识。本研究的目的是回顾性评估内镜治疗LAGB并发症的可行性和有效性。

方法

我们回顾性评估了2011年至2015年间接受LAGB的352例患者。26例患者（7.4%）出现了与LAGB相关的并发症。本研究纳入了6例接受内镜治疗的患者（1.7%）。

结果

我们系列中LAGB引起的并发症类型包括胃内移位（n = 3）、胃漏（n = 2）和胃瘘（n = 1）。6例患者中有4例并发症的内镜治疗成功。2例患者内镜下取出束带成功。所有胃漏均通过内镜手术成功闭合。在2例患者（胃内移位和胃瘘）中，内镜治疗不充分，进行了手术。

结论

内镜手术为LAGB术后束带移位和胃漏提供了可接受的治疗方法。然而，胃瘘患者的治疗效果较差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/1f9fab09d229/gnl-11-497f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/aa64114f415a/gnl-11-497f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/c63efa9c35cf/gnl-11-497f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/4bfcf719cebb/gnl-11-497f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/1f9fab09d229/gnl-11-497f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/aa64114f415a/gnl-11-497f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/c63efa9c35cf/gnl-11-497f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/4bfcf719cebb/gnl-11-497f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5575/5491084/1f9fab09d229/gnl-11-497f4.jpg

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