单环胃旁路术后5年出现的胃支气管瘘的管理
Management of a Gastrobronchial Fistula Presenting 5 Years After a One-Loop Gastric Bypass.
作者信息
Saber Toufic, Backi Saleem Abdel, Aoun Charbel, Ghabi Elie, El Rassi Ziad
机构信息
Saint Georges Hospital University Medical Center, Beirut, Lebanon.
University of Balamand Faculty of Medicine and Health Sciences, Beirut, Lebanon.
出版信息
ACG Case Rep J. 2021 May 12;8(5):e00570. doi: 10.14309/crj.0000000000000570. eCollection 2021 May.
Anastomotic leaks and gastric fistulas are recognized complications after sleeve gastrectomy and Roux-en-Y gastric bypass. They are, however, almost unheard of following a one-anastomosis gastric bypass. A gastrobronchial fistula, an exceedingly rare complication after bariatric surgery, has to date never been described following a one-anastomosis gastric bypass. Furthermore, there is no consensus regarding the management of this challenging complication. In our case, we present a patient who was discovered to have a gastrobronchial fistula 5 years after a one anastomosis gastric bypass. After 2 failed attempts at endoscopic stent placement, the patient was successfully managed with a laparoscopic Roux-en-Y gastrojejunostomy over the fistula.
吻合口漏和胃瘘是袖状胃切除术和Roux-en-Y胃旁路术后公认的并发症。然而，在单吻合口胃旁路术后几乎从未听说过。胃支气管瘘是减重手术后极为罕见的并发症，迄今为止，单吻合口胃旁路术后从未有过相关描述。此外，对于这种具有挑战性的并发症的处理尚无共识。在我们的病例中，我们报告了一名患者，其在接受单吻合口胃旁路术后5年被发现患有胃支气管瘘。在内镜下放置支架两次尝试失败后，该患者通过在瘘口上方进行腹腔镜Roux-en-Y胃空肠吻合术成功得到治疗。
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