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腹腔镜下Roux-en-Y吻合口肠套叠固定术

Laparoscopic enteropexy for intussusception at Roux-en-Y anastomosis.

作者信息

Kalmar Christopher L, Lucktong Tananchai A

机构信息

Department of Surgery, Virginia Tech Carilion School of Medicine, Roanoke, VA.

出版信息

J Surg Case Rep. 2019 May 14;2019(5):rjz152. doi: 10.1093/jscr/rjz152. eCollection 2019 May.

DOI:10.1093/jscr/rjz152
PMID:31110656
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6516431/
Abstract

Roux-en-Y gastric bypass (RYGB) is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after RYGB is a rare but potentially serious complication. Timely radiographic recognition and surgical therapy with laparoscopic enteropexy of all limbs of the enteroenteric anastomosis in our experience allows same-day management with return to work and activities of daily living without recurrence of intussusception.

摘要

Roux-en-Y胃旁路术(RYGB)是世界上最常施行的减肥手术。RYGB术后空肠-空肠套叠是一种罕见但可能严重的并发症。根据我们的经验,通过及时的影像学诊断以及对肠-肠吻合所有肠袢进行腹腔镜肠固定术的手术治疗,能够实现当日处理,患者可恢复工作和日常生活,且套叠不再复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/3c65cf62620f/rjz152f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/78d4d2d9fc5b/rjz152f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/9f5c1a458985/rjz152f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/785c1442761c/rjz152f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/3c65cf62620f/rjz152f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/78d4d2d9fc5b/rjz152f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/9f5c1a458985/rjz152f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/785c1442761c/rjz152f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2704/6516431/3c65cf62620f/rjz152f04.jpg

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A Case Report of Intussusception After Gastric Bypass.

本文引用的文献

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Bariatric Surgery Worldwide 2013.《2013年全球减肥手术》
Obes Surg. 2015 Oct;25(10):1822-32. doi: 10.1007/s11695-015-1657-z.
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Intussusception after laparoscopic gastric bypass surgery: an underrecognized complication.腹腔镜胃旁路手术后的肠套叠:一种未被充分认识的并发症。
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Synchronous intussusceptions following Roux-en-Y Gastric Bypass: case report and review of the literature.Roux-en-Y 胃旁路术后并发肠套叠:病例报告及文献复习。
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Retrograde (reverse) jejunal intussusception might not be such a rare problem: a single group's experience of 23 cases.逆行性空肠套叠可能并非罕见问题:一组23例的经验。
Surg Obes Relat Dis. 2008 Mar-Apr;4(2):77-83. doi: 10.1016/j.soard.2007.12.004. Epub 2008 Mar 4.
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Motility Disorders after Roux-en-Y Gastrojejunostomy.Roux-en-Y胃空肠吻合术后的运动障碍
Obes Surg. 1994 Aug;4(3):219-226. doi: 10.1381/096089294765558412.