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胃旁路术后和腹部整形术后空肠空肠套叠:罕见的关联还是仅仅是巧合?

Jejunojejunal Intussusception After Roux-en-Y Gastric Bypass and Abdominoplasty: A Rare Association or a Mere Coincidence?

机构信息

Burns Unit. Department of Plastic, Reconstructive and Aesthetic Surgery. Centro Hospitalar Universitário de São João. Porto. Portugal.

出版信息

Acta Med Port. 2020 Sep 1;33(9):601-603. doi: 10.20344/amp.11225.

DOI:10.20344/amp.11225
PMID:32893776
Abstract

Small bowel intussusception is a rare complication after Roux-en-Y gastric bypass, with few cases reported, and none in the immediate post-operative period of an abdominoplasty. We report the case of a 42-year-old woman, with an history of a laparoscopic Rouxen-Y gastric bypass, who developed small bowel occlusion secondary to a retrograde jejunojejunal intussusception in the second post-operative day of an abdominoplasty. This is the first report of a small bowel intussusception after Roux-en-Y gastric bypass in the post-operative period of an abdominoplasty. Doubts remain about the possible causal effect abdominoplasty might have in small bowel intussusception after Roux-en-Y gastric bypass.

摘要

空肠套叠是 Roux-en-Y 胃旁路术后罕见的并发症,报道的病例很少,在腹部整形术后的即刻时期也没有发生过。我们报告了一例 42 岁女性患者,腹腔镜 Roux-en-Y 胃旁路术后,在腹部整形术后第二天发生逆行空肠空肠套叠,导致小肠闭塞。这是首例 Roux-en-Y 胃旁路术后腹部整形术后空肠套叠的报告。对于腹部整形术是否可能导致 Roux-en-Y 胃旁路术后空肠套叠,仍存在疑问。

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BMJ Case Rep. 2021 May 11;14(5):e240756. doi: 10.1136/bcr-2020-240756.