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胃胃疝:一种治疗病态肥胖症时胃大弯折叠术后罕见的并发症:病例报告

Gastrogastric herniation: An unusual complication following greater curve plication for the treatment of morbid obesity: Case report.

作者信息

Alhaj Ahmad, Niazi Ammar, Swed Sarya, Banjah Bassel, Ayoub Kusay

机构信息

Department of Generl Surgery at Aleppo Hospital, Aleppo, Syria.

Department of General Surgery at Aleppo Hospital, Aleppo, Syria.

出版信息

Ann Med Surg (Lond). 2021 Sep 30;71:102900. doi: 10.1016/j.amsu.2021.102900. eCollection 2021 Nov.

DOI:10.1016/j.amsu.2021.102900
PMID:34840737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8606705/
Abstract

Bariatric surgery is the most effective treatment for obese patients. Laparoscopic greater curvature plication (LGCP) is a good, effective and feasible surgical option for the treatment of obese patients. But it has some complications that should be considered such as gastric remnant distention, stomal stenosis and marginal ulcers. Here, we reported an extremely rare complication "gastro-gastric herniation". This condition was diagnosed through upper gastrointestinal contrast imaging and treated through laparoscopy. The hernia was invaginated and firm continuous sutures were placed. We followed the patient for one year and the results were great. Thus, we can add gastro-gastric hernia to the medical literature as a rare complication of laparoscopic greater curvature gastric plication, and It is considered a serious condition that requires immediate treatment and follow-up.

摘要

减重手术是肥胖患者最有效的治疗方法。腹腔镜大弯折叠术(LGCP)是治疗肥胖患者的一种良好、有效且可行的手术选择。但它有一些并发症需要考虑,如胃残余扩张、吻合口狭窄和边缘性溃疡。在此,我们报告了一种极其罕见的并发症“胃-胃疝”。这种情况通过上消化道造影成像诊断,并通过腹腔镜进行治疗。将疝内翻并放置牢固的连续缝线。我们对该患者进行了一年的随访,结果良好。因此,我们可以将胃-胃疝作为腹腔镜大弯胃折叠术的一种罕见并发症补充到医学文献中,并且它被认为是一种需要立即治疗和随访的严重情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ff/8606705/8b830ec5bd33/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ff/8606705/e71856eaaf27/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ff/8606705/8b830ec5bd33/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ff/8606705/e71856eaaf27/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77ff/8606705/8b830ec5bd33/gr2.jpg

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Obes Surg. 2010 Jul;20(7):913-8. doi: 10.1007/s11695-010-0132-0.
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