通过两步内镜取出不可调节胃束带来解决的营养问题。
A nutrition problem solved by a two-step endoscopic removal of a non-adjustable gastric band.
作者信息
Johansen Christer D, Norum Jan, Engebretsen Bernt E, Agledahl Uwe
机构信息
Department of Surgery, Finnmark Hospital, Hammerfest, Norway.
Department of Clinical Medicine, Faculty of Health Science, UiT-The Arctic University of Norway, Tromsø, Norway.
出版信息
J Surg Case Rep. 2018 Nov 13;2018(11):rjy306. doi: 10.1093/jscr/rjy306. eCollection 2018 Nov.
Bariatric surgery is an effective approach for weight loss and short-term improvement in metabolic disorders. Stenosis is a common complication of gastric banding. Balloon dilatation or gastrotomy has been employed in this setting. Few studies have indicated endoscopic removal of the band a feasible procedure. We present a 60-year-old female who underwent gastric banding in 1985 and suffered from late stenosis and malnutrition. Endoscopy revealed a severe stenosis. A two-step procedure was performed. Initially a coated stent was placed into the stenosis to achieve pressure necrosis. Two weeks later, the stent was removed and the band was removed endoscopically. The procedure was performed without any complications. The patient was discharged the next day. A follow-up after 2 months revealed no problems with stenosis or malnutrition. The procedure was a safe, efficient and convenient way of handling late stenosis after gastric banding.
减肥手术是一种有效的减肥方法，能在短期内改善代谢紊乱。狭窄是胃束带术的常见并发症。在这种情况下，已采用球囊扩张术或胃切开术。很少有研究表明内镜下取出束带是一种可行的手术。我们报告一位60岁女性，她于1985年接受了胃束带术，出现了晚期狭窄和营养不良。内镜检查发现严重狭窄。我们进行了两步手术。首先，将一个覆膜支架置入狭窄部位以实现压力性坏死。两周后，取出支架并通过内镜取出束带。手术过程没有任何并发症。患者第二天出院。2个月后的随访显示，狭窄或营养不良方面没有问题。该手术是处理胃束带术后晚期狭窄的一种安全、有效且便捷的方法。
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