Israr Ul Haq Muhammad, Talib Usama, Ans Armghan H, Razzaq Umer, Mehmood Hassan
Surgery, New York University Langone Medical Center, New York, USA.
Internal Medicine, North Shore Salem Hospital, Salem, USA.
Cureus. 2018 Aug 6;10(8):e3108. doi: 10.7759/cureus.3108.
Laparoscopic Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric surgical procedure with successful outcomes. RYGB has multiple positive outcomes, including sustained weight reduction, resolution of co-morbidities and improvement in the overall health. RYGB has many complications like any other surgery, but the development of tuberculosis (TB) either pulmonary or extra-pulmonary secondary to RYGB is very rare. We present a 32-year-old female with the history of a successful RYGB three years ago, who presented with signs and symptoms of possible TB which was later confirmed with sputum acid-fast bacilli and sputum culture. She was treated with anti-tuberculosis treatment (ATT) drugs for six months with complete resolution of her symptoms. We recommend raising awareness in the health care professionals about this rare complication of RYGB in the need of time.
腹腔镜Roux-en-Y胃旁路术（RYGB）是最常施行的减肥手术，效果良好。RYGB有多种积极效果，包括持续减重、合并症缓解及整体健康状况改善。与其他手术一样，RYGB也有许多并发症，但RYGB继发的肺结核（TB）无论是肺内还是肺外的都非常罕见。我们报告一名32岁女性，她三年前成功接受了RYGB手术，现出现可能患有TB的症状和体征，后来通过痰涂片抗酸杆菌和痰培养得以确诊。她接受了六个月的抗结核治疗（ATT），症状完全缓解。我们建议医护人员及时提高对RYGB这种罕见并发症的认识。
