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Roux-en-Y胃旁路术后患者的漩涡征：病例系列

Swirl sign in post-Roux-en-Y gastric bypass patients: a case series.

作者信息

Al-Mulla Ahmad E, Sultan Abdulla E, Imam Ehab S, Al-Huzaim Raghad A

机构信息

Department of Surgery, Farwaniya Hospital, Ministry of Health Kuwait, Farwaniya, Kuwait.

出版信息

J Surg Case Rep. 2021 Jul 31;2021(7):rjab321. doi: 10.1093/jscr/rjab321. eCollection 2021 Jul.

DOI:10.1093/jscr/rjab321
PMID:34345403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8325997/
Abstract

Bariatric surgeries have been increasing with the rising numbers of obese patients. Roux-en-Y is one of the safest and effective bariatric procedures worldwide. Internal hernia is one of laparoscopic Roux-en-Y gastric bypass complications. Its vague symptoms and late presentation may lead to adverse outcomes. Swirl sign in computed tomography scan has proven to be a particular and sensitive finding to detecting internal hernia in patients with an ambiguous presentation.

摘要

随着肥胖患者数量的增加，减肥手术也在不断增加。Roux-en-Y手术是全球最安全有效的减肥手术之一。内疝是腹腔镜Roux-en-Y胃旁路手术的并发症之一。其症状模糊且出现较晚，可能导致不良后果。计算机断层扫描中的漩涡征已被证明是检测表现不明确患者内疝的一种特殊且敏感的表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/a042feb9b2f1/rjab321f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/0955983df6b5/rjab321f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/1268fe982434/rjab321f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/0d8b1b402bc5/rjab321f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/677108bb318a/rjab321f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/c04273840ab9/rjab321f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/a042feb9b2f1/rjab321f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/0955983df6b5/rjab321f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/1268fe982434/rjab321f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/0d8b1b402bc5/rjab321f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/677108bb318a/rjab321f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/c04273840ab9/rjab321f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1fe5/8325997/a042feb9b2f1/rjab321f6.jpg

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本文引用的文献

1
Role of CT imaging in discriminating internal hernia from aspecific abdominal pain following Roux-en-Y gastric bypass: a single high-volume centre experience.CT 成像在 Roux-en-Y 胃旁路术后鉴别非特异性腹痛与内疝中的作用：单一大容量中心的经验。
Updates Surg. 2020 Dec;72(4):1115-1124. doi: 10.1007/s13304-020-00767-w. Epub 2020 Apr 18.
2
Bariatric Surgery versus Intensive Medical Therapy for Diabetes - 5-Year Outcomes.减肥手术与强化药物治疗糖尿病——5年结果
N Engl J Med. 2017 Feb 16;376(7):641-651. doi: 10.1056/NEJMoa1600869.
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Managing complications associated with laparoscopic Roux-en-Y gastric bypass for morbid obesity.
腹腔镜 Roux-en-Y 胃旁路术治疗病态肥胖相关并发症的管理。
Can J Surg. 2012 Oct;55(5):329-36. doi: 10.1503/cjs.002011.
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Perioperative safety in the longitudinal assessment of bariatric surgery.肥胖症手术纵向评估中的围手术期安全性
N Engl J Med. 2009 Jul 30;361(5):445-54. doi: 10.1056/NEJMoa0901836.
5
Internal hernia following Roux-en-Y gastric bypass surgery for morbid obesity: evaluation of radiographic findings at small-bowel examination.肥胖症患者行Roux-en-Y胃旁路手术后发生内疝：小肠检查影像学表现评估
Radiology. 2009 Jun;251(3):762-70. doi: 10.1148/radiol.2513081544. Epub 2009 Mar 31.
6
Sensitivity and specificity of eight CT signs in the preoperative diagnosis of internal mesenteric hernia following Roux-en-Y gastric bypass surgery.8种CT征象在Roux-en-Y胃旁路术后肠系膜内疝术前诊断中的敏感性和特异性
Clin Radiol. 2009 Apr;64(4):373-80. doi: 10.1016/j.crad.2008.10.008. Epub 2008 Dec 16.
7
Small bowel obstruction after laparoscopic Roux-en-Y gastric bypass: a review of 9,527 patients.腹腔镜Roux-en-Y胃旁路术后小肠梗阻：9527例患者的回顾分析
J Am Coll Surg. 2008 Mar;206(3):571-84. doi: 10.1016/j.jamcollsurg.2007.10.008. Epub 2007 Dec 19.
8
Bariatric surgery for morbid obesity.针对病态肥胖的减肥手术。
N Engl J Med. 2007 May 24;356(21):2176-83. doi: 10.1056/NEJMct067019.
9
Internal hernia after gastric bypass: sensitivity and specificity of seven CT signs with surgical correlation and controls.胃旁路术后内疝：七种CT征象的敏感性和特异性及其与手术的相关性和对照研究
AJR Am J Roentgenol. 2007 Mar;188(3):745-50. doi: 10.2214/AJR.06.0541.
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Laparoscopic Gastric Bypass, Roux-en-Y: Preliminary Report of Five Cases.腹腔镜胃旁路术，Roux-en-Y 式：5 例初步报告。
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