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胃气囊移位导致的机械性肠梗阻——病例报告

Mechanical intestinal obstruction caused by displacement of a stomach balloon - case report.

作者信息

Twardzik Maciej, Wiewiora Maciej, Glück Marek, Piecuch Jerzy

机构信息

Department of General and Bariatric Surgery and Emergency Medicine, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Poland.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2018 Jun;13(2):278-281. doi: 10.5114/wiitm.2018.73446. Epub 2018 Feb 12.

DOI:10.5114/wiitm.2018.73446
PMID:30002764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6041590/
Abstract

Methods of treating obesity in selected cases include endoscopically performed procedures, among them endoscopically placed intragastric balloons. It is a method associated with a low complication rate, traditionally reserved to treat the most obese patients. Balloon rupture or deflation and its migration into the small bowel is one of the possible complications. In some cases, the balloon moves through the digestive tract without side effects. When the balloon's displacement in the intestine is impossible, gastrointestinal obstruction occurs. We report a case of a patient with a mechanical obstruction of the gastrointestinal tract caused by asymptomatic balloon rupture and its migration into the jejunum.

摘要

在特定病例中,治疗肥胖症的方法包括内镜下操作的程序,其中就有内镜下放置胃内气球。这是一种并发症发生率较低的方法,传统上用于治疗最肥胖的患者。气球破裂、放气及其迁移至小肠是可能的并发症之一。在某些情况下,气球在消化道内移动而无副作用。当气球无法在肠道内移位时,就会发生胃肠道梗阻。我们报告一例患者,其胃肠道机械性梗阻是由无症状的气球破裂及其迁移至空肠所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16e/6041590/28280b1c7126/WIITM-13-31795-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16e/6041590/45cf052bb255/WIITM-13-31795-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16e/6041590/aeae6aed45ee/WIITM-13-31795-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16e/6041590/28280b1c7126/WIITM-13-31795-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16e/6041590/45cf052bb255/WIITM-13-31795-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16e/6041590/aeae6aed45ee/WIITM-13-31795-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e16e/6041590/28280b1c7126/WIITM-13-31795-g003.jpg

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Short-term outcomes of the new intragastric balloon End-Ball for treatment of obesity.新型胃内球囊End-Ball治疗肥胖症的短期疗效
Wideochir Inne Tech Maloinwazyjne. 2016;11(4):229-235. doi: 10.5114/wiitm.2016.63988. Epub 2016 Nov 29.
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Prevalence of general and abdominal obesity and overweight among adults in Poland. Results of the WOBASZ II study (2013-2014) and comparison with the WOBASZ study (2003-2005).
波兰成年人中一般肥胖、腹部肥胖及超重的患病率。WOBASZ II研究(2013 - 2014年)结果及与WOBASZ研究(2003 - 2005年)的比较。
Pol Arch Med Wewn. 2016 Aug 18;126(9):662-671. doi: 10.20452/pamw.3499.
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Tolerance of intragastric balloon and patient's satisfaction in obesity treatment.胃内球囊在肥胖治疗中的耐受性及患者满意度
Wideochir Inne Tech Maloinwazyjne. 2015 Sep;10(3):445-9. doi: 10.5114/wiitm.2015.54047. Epub 2015 Sep 11.
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Dual Intragastric Balloon: Single Ambulatory Center Spanish Experience with 60 Patients in Endoscopic Weight Loss Management.双胃内球囊:一家门诊中心对60例患者进行内镜下减重管理的西班牙经验
Obes Surg. 2015 Dec;25(12):2263-7. doi: 10.1007/s11695-015-1715-6.
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Surg Obes Relat Dis. 2014 May-Jun;10(3):474-8. doi: 10.1016/j.soard.2013.10.021. Epub 2013 Dec 6.
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