Whitfield Edward P, Leeds Steven G, Kerlee Kacie R, Ward Marc A
College of Medicine, Texas A&M Health Science Center, Dallas, Texas.
Center for Advanced Surgery, Baylor Scott and White Health, Dallas, Texas.
Proc (Bayl Univ Med Cent). 2020 Jun 22;33(4):635-636. doi: 10.1080/08998280.2020.1775483.
Bariatric surgery has become an accepted and effective treatment for morbid obesity. Laparoscopic sleeve gastrectomy is the most common weight loss procedure, in which patients on average lose 60% of their excess body weight. Recently, a completely endoscopic approach was developed that takes advantage of an endoscopic suturing device to plicate the greater curvature of the stomach into sleeve-like anatomy. The endoscopic sleeve gastroplasty has been shown to be safe with minimal complications and good weight loss outcomes. We present a case of a rare and dangerous complication of endoscopic sleeve gastroplasty that required emergent surgical intervention.
减重手术已成为一种被认可且有效的治疗病态肥胖的方法。腹腔镜袖状胃切除术是最常见的减重手术，患者平均可减轻60%的多余体重。最近，一种完全内镜下的方法被开发出来，该方法利用内镜缝合装置将胃大弯折叠成袖状结构。内镜袖状胃成形术已被证明是安全的，并发症极少，减重效果良好。我们报告一例内镜袖状胃成形术罕见且危险的并发症，该并发症需要紧急手术干预。
