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腹腔镜翻修手术治疗Roux-en-Y胃旁路术的罕见并发症

Laparoscopic revisional surgery for an unusual complication of Roux-en-Y gastric bypass.

作者信息

Raices Micaela, Fuente Ignacio, Rodriguez Fanny, Wright Fernando

机构信息

General Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

出版信息

BMJ Case Rep. 2018 Jun 20;2018:bcr-2018-224759. doi: 10.1136/bcr-2018-224759.

Abstract

With the worldwide epidemic of obesity, there has been an increase in the numbers of primary and revisional procedures of bariatric surgery such as the Roux-en-Y gastric bypass (RYGBP). Nevertheless, this type of surgery is not exempt from complications. An excessive length of non-functional Roux limb proximal to the jejunojejunostomy can cause abnormal upper gastrointestinal symptoms after laparoscopic RYGBP. We present the case of a female patient who presented these unspecific abdominal symptoms after laparoscopic RYGBP who underwent laparoscopic resection in order to reduce the length of the dilated blind loop responsible for the symptoms.

摘要

随着全球肥胖症的流行,诸如Roux-en-Y胃旁路术(RYGBP)等减重手术的初次和翻修手术数量有所增加。然而,这类手术并非没有并发症。空肠空肠吻合口近端无功能的Roux袢过长会在腹腔镜RYGBP术后引起上消化道异常症状。我们报告一例女性患者,她在腹腔镜RYGBP术后出现了这些非特异性腹部症状,随后接受了腹腔镜切除术,以缩短导致这些症状的扩张盲袢的长度。

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