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胃旁路术后逆行肠套叠急诊肠切除术后吻合口瘘。

Anastomotic fistula after emergency enterectomy for retrograde intussusception after gastric bypass.

机构信息

Department of General Surgery, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal

Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

出版信息

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

DOI:10.1136/bcr-2020-240756
PMID:33975836
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8118074/
Abstract

Retrograde intussusception is a rare complication of gastric bypass. It is commonly located in the common limb close to the jejunojejunostomy. The management of such condition dictates the outcome of the patient either in the immediate emergency setting or in the long-term bariatric surgery's expected results. We present a case of a retrograde intussusception 3 years after gastric bypass which warranted an emergency enterectomy, followed by an anastomotic fistula. The adequate management of these cases leads to recovery without compromising the effect of bariatric surgery in the future.

摘要

逆行肠套叠是胃旁路术的一种罕见并发症。它通常位于靠近空肠空肠吻合术的共同支附近。这种情况的处理决定了患者在紧急情况下或长期减肥手术的预期结果中的结局。我们报告了一例胃旁路术后 3 年发生的逆行肠套叠,需要紧急进行肠切除术,随后发生吻合口瘘。这些病例的适当处理可导致恢复,而不会影响未来减肥手术的效果。

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Acta Med Port. 2020 Sep 1;33(9):601-603. doi: 10.20344/amp.11225.
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S146-Jejunojejunal intussusception after roux-En-Y gastric bypass: a case series of 34 patients.胃旁路术后 S146-空肠空肠套叠:34 例病例系列。
Surg Endosc. 2021 Aug;35(8):4632-4637. doi: 10.1007/s00464-020-07889-7. Epub 2020 Aug 13.
3
Jejuno-Jejunal Intussusception after Roux-en-Y Gastric Bypass.Roux-en-Y 胃旁路术后空肠-空肠套叠。
Obes Surg. 2020 Oct;30(10):4155-4158. doi: 10.1007/s11695-020-04719-6.
4
A multicentre comparative study between laparoscopic and open surgery for intussusception in adults.成人肠套叠腹腔镜与开放手术的多中心对比研究。
Colorectal Dis. 2020 Oct;22(10):1415-1421. doi: 10.1111/codi.15102. Epub 2020 May 27.
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J Pediatr Surg. 2020 Jun;55(6):1023-1025. doi: 10.1016/j.jpedsurg.2020.02.034. Epub 2020 Feb 27.
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