病例报告：侵蚀性胃带经迁移进入近端空肠导致小肠梗阻的内镜下移除。
Case Report: Endoscopic Removal of an Eroded Gastric Band Causing Small Bowel Obstruction upon Migration into the Proximal Jejunum.
机构信息
Department of Minimally Invasive and Bariatric Surgery, Hôpital du Sacré-Coeur, CIUSSS du Nord de l'île de Montréal, 5400 Boulevard Gouin Ouest H4J 1C5, Québec, Montréal, Canada.
出版信息
Obes Surg. 2020 Dec;30(12):5153-5156. doi: 10.1007/s11695-020-04906-5. Epub 2020 Aug 11.
BACKGROUND
Adjustable gastric banding (AGB) is on the decline due to its relatively modest amount of expected weight loss, coupled with high rates of revision and complications such as band erosion. Management of eroded gastric bands can be challenging especially when complete intra-gastric erosion is followed by distal migration causing small bowel obstruction.
METHODS
We present an endoscopic option of using a pediatric colonoscope to remove an eroded AGB causing jejunal obstruction.
RESULT
Endoscopic removal of an eroded ABG causing bowel obstruction was successful.
CONCLUSION
Endoscopy remains a safe and relatively non-invasive approach to deal with such complications.
背景
由于预期减重效果相对较小，加上较高的修正率和并发症发生率，如带侵蚀，可调胃束带（AGB）的使用正在减少。当完全胃内侵蚀后发生远端迁移导致小肠梗阻时，侵蚀性胃带的处理具有挑战性。
方法
我们提出了一种使用小儿结肠镜从胃中取出导致空肠梗阻的侵蚀性 AGB 的内镜选择。
结果
成功地进行了内镜下移除导致肠阻塞的侵蚀性 ABG。
结论
内镜仍然是处理此类并发症的一种安全且相对非侵入性的方法。
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