Wnorowski Amelia M, Levine Marc S, Rubesin Stephen E, Williams Noel N, Dumon Kristoffel R
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, United States.
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, United States.
Clin Imaging. 2018 Jan-Feb;47:118-123. doi: 10.1016/j.clinimag.2017.09.002. Epub 2017 Sep 10.
To characterize clinical and radiographic features of a hyperirritable stomach after sleeve gastrectomy.
MATERIALS/METHODS: Radiology reports revealed that 10/76 patients (13%) with obstructive symptoms after sleeve gastrectomy had a hyperirritable stomach.
All 10 patients presented with nausea, vomiting, and/or regurgitation. All 10 had emesis on barium studies in the absence of gastric outlet obstruction, gastroparesis, or small bowel obstruction/ileus. Five had extraintestinal causes of nausea/vomiting. Eight had improvement/resolution of symptoms on medical treatment.
In 13% of patients with nausea/vomiting after sleeve gastrectomy, barium studies revealed a hyperirritable stomach, which likely is multifactorial and self-limited in most patients.
描述袖状胃切除术后高敏胃的临床和影像学特征。
材料/方法：放射学报告显示，76例袖状胃切除术后出现梗阻症状的患者中有10例（13%）存在高敏胃。
所有10例患者均出现恶心、呕吐和/或反流。所有10例患者在钡餐检查时均有呕吐，且不存在胃出口梗阻、胃轻瘫或小肠梗阻/肠梗阻。5例患者存在恶心/呕吐的肠外原因。8例患者经药物治疗后症状改善/缓解。
在13%的袖状胃切除术后出现恶心/呕吐的患者中，钡餐检查显示存在高敏胃，这可能是多因素导致的，且在大多数患者中是自限性的。
