Evans Gretchen, Eagon J Christopher, Kushnir Vladmir
Department of Internal Medicine, Washington University School of Medicine, St. Louis, MO.
Department of Surgery, Washington University School of Medicine, St. Louis, MO.
ACG Case Rep J. 2019 Dec 25;6(12):e00296. doi: 10.14309/crj.0000000000000296. eCollection 2019 Dec.
Gastrointestinal bleeding is an uncommon but potentially life-threatening complication of laparoscopic adjustable gastric banding (LAGB) erosion. We present the use of a Sengstaken-Blakemore tube as a treatment device for severe gastrointestinal bleeding secondary to persistent LAGB erosion. A 72-year-old woman post-LAGB placement presented with hemorrhagic shock from gastric band erosion that was not responsive to endoscopic and angiographic interventions. A salvage attempt to tamponade with a Sengstaken-Blakemore tube resulted in successful resuscitation of the patient. When used judiciously, balloon tamponade serves as a replicable technique to control severe gastric band erosion refractory to standard management.
胃肠道出血是腹腔镜可调节胃束带术（LAGB）侵蚀这一少见但可能危及生命的并发症。我们介绍了使用Sengstaken-Blakemore管作为治疗持续性LAGB侵蚀继发严重胃肠道出血的一种治疗手段。一名接受LAGB术后的72岁女性因胃束带侵蚀出现失血性休克，内镜和血管造影干预均无效。尝试用Sengstaken-Blakemore管进行压迫止血成功使患者复苏。谨慎使用时，球囊压迫是控制标准治疗难治的严重胃束带侵蚀的一种可重复应用的技术。
