腹腔镜可调节胃束带侵蚀伴胃内束带移位：一种罕见但严重的并发症。

Hota Partha, Caroline Dina, Gupta Sonia, Agosto Omar

Division of Abdominal Imaging, Department of Radiology, Temple University Hospital, 3401 N. Broad St., Philadelphia, PA 19140, USA.

Radiol Case Rep. 2017 Dec 13;13(1):76-80. doi: 10.1016/j.radcr.2017.11.012. eCollection 2018 Feb.

Although laparoscopic adjustable gastric banding is considered the most minimally invasive surgical technique for the treatment of morbid obesity, the procedure has a reported overall complication rate of up to 26%. Among the various complications, gastric band erosion with intragastric band migration is the most worrisome because of the risk of subsequent obstruction, peritonitis, and sepsis. Therefore, prompt and accurate diagnosis is crucial during imaging evaluation of these patients in the late postoperative setting. In this article, we report a case of a 47-year-old woman with a gastric band that had eroded into the gastric wall with intragastric migration demonstrating classic findings on fluoroscopic and computed tomography imaging.

尽管腹腔镜可调节胃束带术被认为是治疗病态肥胖最具微创性的外科技术，但据报道该手术的总体并发症发生率高达26%。在各种并发症中，胃束带侵蚀伴胃内束带移位最为令人担忧，因为有随后发生梗阻、腹膜炎和脓毒症的风险。因此，在对这些术后晚期患者进行影像学评估时，迅速而准确的诊断至关重要。在本文中，我们报告了一例47岁女性患者，其胃束带已侵蚀至胃壁并伴有胃内移位，在荧光镜检查和计算机断层扫描成像中显示出典型表现。