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腹腔镜迷你/单吻合口胃旁路术后并发症管理中的影像学特征

Imaging features in management of laparoscopic mini/one anastomosis gastric bypass post-surgical complications.

作者信息

Scavone Giovanni, Castelli Federica, Caltabiano Daniele Carmelo, Raciti Maria Vittoria, Ini' Corrado, Basile Antonio, Piazza Luigi, Scavone Antonio

机构信息

Department of Diagnostic Radiology, Neuroradiology and Interventional Radiology, "Garibaldi Centro" Hospital, Piazza Santa Maria di Gesù, 5, 95124 Catania, Italy.

Department of Diagnostic Radiology, "Umberto I" Hospital, Contrada Ferrante, 94100 Enna, Italy.

出版信息

Heliyon. 2021 Aug 3;7(8):e07705. doi: 10.1016/j.heliyon.2021.e07705. eCollection 2021 Aug.

DOI:10.1016/j.heliyon.2021.e07705
PMID:34401586
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8353499/
Abstract

Obesity is a widespread pathology among the population related to an increase in mortality and morbidity of patients. Bariatric surgery provides several forms of treatment for obese patients. Laparoscopic mini/one anastomosis gastric bypass (MGB/OAGB) is a recent low risk bariatric surgical procedure common in a large number of countries in the treatment of severe obesity. MGB/OAGB, compared to other bariatric surgery techniques, offers the significant technical improvement of requiring only one anastomosis in place of two. In this scenario, diagnostic imaging takes a significant role in the postoperative period, to evaluate the outcomes of surgical treatment and to detect possible complications both in early and late postoperative period. The prevalent radiological procedure to investigate suspicions of clinical post-operative complications is Computed tomography (CT) with oral and intravenous contrast administration. This pictorial essay aims to illustrate and identify normal radiological aspects of MGB/OAGB and post-surgery complication imaging features. We think that this article will serve to familiarize all the specialists with the diagnostic imaging of MGB/OAGB.

摘要

肥胖是一种在人群中广泛存在的病理状态，与患者死亡率和发病率的增加相关。减重手术为肥胖患者提供了多种治疗方式。腹腔镜迷你/单吻合口胃旁路术（MGB/OAGB）是一种近期出现的低风险减重手术，在许多国家常用于治疗重度肥胖。与其他减重手术技术相比，MGB/OAGB有显著的技术改进，即只需进行一次吻合而非两次。在这种情况下，诊断性影像学在术后阶段起着重要作用，用于评估手术治疗效果，并在术后早期和晚期检测可能出现的并发症。用于调查术后临床并发症疑似情况最常用的放射学检查方法是口服和静脉注射造影剂的计算机断层扫描（CT）。这篇图文并茂的文章旨在阐述和识别MGB/OAGB正常的放射学表现以及术后并发症的影像特征。我们认为本文将有助于所有专科医生熟悉MGB/OAGB的诊断性影像学。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/9714c6428bb9/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/f2a4c2338061/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/c2aa4014d504/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/2fecaec3292a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/759ad20f5e2b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/1493464a8597/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/7c070abedde7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/6cf46343a9b6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/f455b5eed9c5/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/a5df8af8d8f3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/aeac3edbb329/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/9714c6428bb9/gr11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/f2a4c2338061/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/c2aa4014d504/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/2fecaec3292a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/759ad20f5e2b/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/1493464a8597/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/7c070abedde7/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/6cf46343a9b6/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/f455b5eed9c5/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/a5df8af8d8f3/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/aeac3edbb329/gr10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/082e/8353499/9714c6428bb9/gr11.jpg

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Updates Surg. 2020 Jun;72(2):493-502. doi: 10.1007/s13304-020-00743-4. Epub 2020 Mar 18.
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Weight Loss After One Anastomosis Gastric Bypass-Mini Gastric Bypass (OAGB-MGB): Patient-Related Perioperative Predictive Factors.
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减重术后单吻合口胃旁路术-迷你胃旁路术（OAGB-MGB）：与患者相关的围手术期预测因素。
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