Suri Kabir, Tran Khoa, Whang Gilbert
Department of Radiology, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States of America.
Department of Radiology, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States of America.
Clin Imaging. 2019 Mar-Apr;54:159-162. doi: 10.1016/j.clinimag.2019.01.006. Epub 2019 Jan 8.
One of the more common effective surgical procedures performed today for obesity is the Roux-en-Y gastric bypass. Though effective, both early and late complications do occur. Gastric remnant hemorrhage after gastric bypass is an uncommon late complication, posing both diagnostic and therapeutic difficulties. We report a case of gastrointestinal bleed and gastric remnant rupture secondary to splenic artery pseudoaneurysm 14 years after initial bariatric surgery. Given altered surgical anatomy in gastric bypass procedures, diagnosis and treatment of the source of a gastrointestinal bleed in a Roux-en-Y gastric bypass patient may require a multimodality and multidisciplinary approach.
如今，肥胖症患者中较为常见且有效的外科手术之一是Roux-en-Y胃旁路术。尽管该手术有效，但早期和晚期并发症确实会发生。胃旁路术后胃残端出血是一种罕见的晚期并发症，在诊断和治疗方面都存在困难。我们报告了一例在初次减肥手术后14年因脾动脉假性动脉瘤继发胃肠道出血和胃残端破裂的病例。鉴于胃旁路手术中手术解剖结构发生了改变，对Roux-en-Y胃旁路术患者胃肠道出血源的诊断和治疗可能需要多模式和多学科的方法。
