Nasta Amrit Manik, Patel Dipti, Shrivastav Om, Goel Madhu, Shrimal Anurag, Gupte Amit, Goel Ramen
Wockhardt Hospitals, Mumbai Central, Mumbai, India.
Bariatric and Metabolic Surgery, Wockhardt Hospitals, Mumbai, India.
Obes Surg. 2018 Mar;28(3):881-885. doi: 10.1007/s11695-017-3103-x.
Mesenteric panniculitis is an uncommon pathology, of poorly understood etiology, characterized by progressive inflammation and fibrosis of the small bowel mesentery. This disease has been reported usually after other abdominal surgeries. We present two cases of young male patients who underwent laparoscopic sleeve gastrectomy and developed abdominal symptoms within 45-60 days of surgery. Both were investigated for known post-bariatric complications. While first patient presented (5 months later) at an irreversible stage and died within 8-9 months of primary surgery, in second patient, the disease process could be reversed through early intervention, diagnosis, treatment, and compliance. Mesenteric panniculitis is a rapidly progressive entity, which can be adequately treated by early identification and long-term immune-suppressive therapy.
肠系膜脂膜炎是一种罕见的病理状况，病因尚不清楚，其特征为小肠系膜进行性炎症和纤维化。这种疾病通常在其他腹部手术后被报道。我们报告了两例年轻男性患者，他们接受了腹腔镜袖状胃切除术，并在术后45至60天内出现腹部症状。两人均因已知的减肥后并发症接受了检查。第一位患者（5个月后）在疾病不可逆阶段就诊，并在初次手术后8至9个月内死亡，而第二位患者通过早期干预、诊断、治疗和依从性，疾病进程得以逆转。肠系膜脂膜炎是一种进展迅速的疾病，通过早期识别和长期免疫抑制治疗可以得到充分治疗。
