侵蚀性腹腔镜可调节胃束带移位导致小肠梗阻和穿孔。

Abeysekera Ashvini, Lee Jerry, Ghosh Simon, Hacking Craig

Department of General Surgery, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.

BMJ Case Rep. 2017 May 12;2017:bcr-2017-219954. doi: 10.1136/bcr-2017-219954.

We present an unusual and rare complication caused by gastric band erosion into the stomach after band placement 15 years ago. The complication was only picked up after the band had subsequently migrated from the stomach at the site of erosion, to the distal ileum causing acute small bowel obstruction and focal perforation requiring emergency laparotomy.Abdominal pain in patients with gastric band should always be treated as serious until proven otherwise.

我们报告了一例罕见的并发症，该并发症由15年前放置胃束带后胃束带侵蚀入胃所致。该并发症直到束带随后从胃的侵蚀部位迁移至回肠末端，导致急性小肠梗阻和局灶性穿孔，需要进行急诊剖腹手术时才被发现。对于佩戴胃束带的患者，腹痛在未被证伪之前均应视为严重情况进行处理。