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胃内球囊置入术并发缺血性肾损伤

Ischemic Renal Injury Complicating Intragastric Balloon Insertion.

作者信息

Aljahdli Emad S

机构信息

Department of Internal Medicine, Division of Gastroenterology, King Abdulaziz University, Jeddah, Saudi Arabia.

出版信息

ACG Case Rep J. 2018 Feb 28;5:e16. doi: 10.14309/crj.2018.16. eCollection 2018.

DOI:10.14309/crj.2018.16
PMID:29516017
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5830543/
Abstract

A 25-year-old obese woman experienced ischemic renal injury as a complication of intragastric balloon (IGB) insertion for weight reduction. Although IGB is associated with a low risk of renal injury in the form of acute renal failure, this presentation has never been reported. The patient responded well to treatment, with complete clinical and radiologic resolution after balloon removal. She did not have an apparent cause of renal ischemia other than a significant compression of the renal vessels by the balloon as seen on imaging.

摘要

一名25岁的肥胖女性在接受胃内气球(IGB)置入以减轻体重时出现缺血性肾损伤,这是一种并发症。尽管IGB导致急性肾衰竭形式的肾损伤风险较低,但这种情况此前从未有过报道。该患者对治疗反应良好,在取出气球后临床和影像学表现完全恢复。除了影像学上显示气球对肾血管造成明显压迫外,她没有其他明显的肾缺血原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed63/5830543/cda29cc5a860/CG-CGCR180003F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed63/5830543/fc4b4568431d/CG-CGCR180003F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed63/5830543/c53837278059/CG-CGCR180003F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed63/5830543/cda29cc5a860/CG-CGCR180003F003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed63/5830543/fc4b4568431d/CG-CGCR180003F001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed63/5830543/c53837278059/CG-CGCR180003F002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed63/5830543/cda29cc5a860/CG-CGCR180003F003.jpg

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本文引用的文献

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Endoscopic Management.内镜管理
Gastroenterol Clin North Am. 2016 Dec;45(4):673-688. doi: 10.1016/j.gtc.2016.07.005.
2
Does Intragastric Balloon Treatment for Obesity in Chronic Kidney Disease Heighten Acute Kidney Injury Risk?慢性肾脏病患者采用胃内球囊治疗肥胖会增加急性肾损伤风险吗?
Am J Nephrol. 2016;44(6):411-418. doi: 10.1159/000450765. Epub 2016 Oct 27.
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左肾静脉受压并发胃内气囊置入术
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