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胃残端漏引发的复发性肝周脓肿：Roux-en-Y胃旁路术翻修术后的迟发性并发症

Recurrent Perihepatic Abscesses Arising from a Gastric Remnant Leak: Delayed Complication of a Revision Roux-en-Y Gastric Bypass.

作者信息

Kaba Aboubacar, Odufalu Florence-Damilola, Ahmed Zarir, Prather Charlene, Nazzal Mustafa

机构信息

Saint Louis University School of Medicine, St. Louis, MO, USA.

Department of Internal Medicine, Saint Louis University, St. Louis, Missouri, USA.

出版信息

Case Rep Surg. 2021 Feb 27;2021:5510526. doi: 10.1155/2021/5510526. eCollection 2021.

DOI:10.1155/2021/5510526
PMID:33728088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7936886/
Abstract

Roux-en-Y gastric bypass is a procedure commonly used for weight loss associated with improved outcomes and decreased complications when compared to some counterparts. The procedure involves restriction of the stomach that is achieved by creation of a gastric pouch and bypass of the duodenum and a portion of the jejunum to aid in restrictive and malabsorptive weight loss. While many complications, both early and late, have been described following the procedure, recurrent perihepatic abscess has not been described in the literature. We present a case of a 66-year-old woman with recurrent extrahepatic abscesses following revision of a Roux-en-Y gastric bypass.

摘要

Roux-en-Y胃旁路手术是一种常用于减肥的手术，与其他一些同类手术相比，其效果更佳且并发症减少。该手术通过创建胃囊来限制胃容量，并绕过十二指肠和部分空肠，以帮助实现限制性和吸收不良性减肥。虽然该手术后已报道了许多早期和晚期并发症，但复发性肝周脓肿在文献中尚未见报道。我们报告一例66岁女性，在Roux-en-Y胃旁路手术翻修后出现复发性肝外脓肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e439/7936886/ac1ae78b5b3d/CRIS2021-5510526.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e439/7936886/e82d0e9e3aef/CRIS2021-5510526.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e439/7936886/dae3ec0d43b3/CRIS2021-5510526.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e439/7936886/ac1ae78b5b3d/CRIS2021-5510526.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e439/7936886/e82d0e9e3aef/CRIS2021-5510526.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e439/7936886/dae3ec0d43b3/CRIS2021-5510526.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e439/7936886/ac1ae78b5b3d/CRIS2021-5510526.003.jpg

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本文引用的文献

1
EARLY POSTOPERATIVE COMPLICATIONS IN ROUX-EN-Y GASTRIC BYPASS.Roux-en-Y胃旁路术后早期并发症
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Late Postoperative Complications in Laparoscopic Sleeve Gastrectomy (LVSG) Versus Laparoscopic Roux-en-y Gastric Bypass (LRYGB): Meta-analysis and Systematic Review.腹腔镜袖状胃切除术（LVSG）与腹腔镜Roux-en-y胃旁路术（LRYGB）术后晚期并发症的Meta分析和系统评价
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Roux-en-Y胃旁路术中的胃残余：挑战与机遇
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Mechanism Underlying the Weight Loss and Complications of Roux-en-Y Gastric Bypass. Review.Roux-en-Y胃旁路手术减肥及并发症的潜在机制。综述。
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Single anastomosis or mini-gastric bypass: long-term results and quality of life after a 5-year follow-up.单吻合口或迷你胃旁路手术：5年随访后的长期结果及生活质量
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Long-term multiple intragastric balloon treatment--a new strategy to treat morbid obese patients refusing surgery: prospective 6-year follow-up study.长期多次胃内球囊治疗——拒绝手术的病态肥胖患者的新策略：前瞻性 6 年随访研究。
Surg Obes Relat Dis. 2014 Mar-Apr;10(2):307-11. doi: 10.1016/j.soard.2013.10.013. Epub 2013 Oct 25.
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Liver abscess as a complication of laparoscopic gastric banding bariatric surgery.腹腔镜胃束带减重手术后并发肝脓肿。
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The EMPOWER study: randomized, prospective, double-blind, multicenter trial of vagal blockade to induce weight loss in morbid obesity.EMPOWER 研究：随机、前瞻性、双盲、多中心试验，旨在通过迷走神经阻断诱导病态肥胖患者体重减轻。
Obes Surg. 2012 Nov;22(11):1771-82. doi: 10.1007/s11695-012-0751-8.
10
Perforation in the bypassed stomach following laparoscopic Roux-en-Y gastric bypass.腹腔镜Roux-en-Y胃旁路术后旷置胃穿孔
Obes Surg. 2003 Oct;13(5):797-9. doi: 10.1381/096089203322509435.