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曾接受袖状胃切除术后植入胃内球囊的患者出现严重胃溃疡并伴有即将发生坏死。

Severe Gastric Ulcerations With Impending Necrosis in a Patient Who Had Gastric Balloon Insertion Following Previous Sleeve Gastrectomy.

作者信息

Al Harthy Salim, Al Lawati Abdullah, Al Lawati Meetham

机构信息

Gastroenterology, Royal Hospital, Muscat, OMN.

College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.

出版信息

Cureus. 2022 Mar 9;14(3):e22983. doi: 10.7759/cureus.22983. eCollection 2022 Mar.

DOI:10.7759/cureus.22983
PMID:35415033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8994045/
Abstract

In this report, we discuss the case of a 44-year-old obese female patient who had her recently installed intragastric balloon removed due to ulceration in the gastric mucosa, which would have led to necrosis as shown by oesophago-gastro-duodenoscopy (OGD). In addition, she had symptoms of nausea, vomiting, dysuria, fever, and experienced severe dehydration, which could have resulted in the formation of ureteric and renal stones. Thus, she was rehydrated and was started on antibiotics. She also underwent successful removal of the intragastric balloon aimed at preserving and healing of the remaining gastric mucosa. Post-op findings were unremarkable; however, a tight peptic stricture at the proximal stomach was formed four weeks after her balloon removal.

摘要

在本报告中,我们讨论了一名44岁肥胖女性患者的病例。该患者因胃黏膜溃疡,通过食管胃十二指肠镜检查(OGD)显示这可能导致坏死,从而将其近期植入的胃内球囊取出。此外,她有恶心、呕吐、排尿困难、发热症状,并经历了严重脱水,这可能导致输尿管和肾结石的形成。因此,对她进行了补液并开始使用抗生素治疗。她还成功接受了胃内球囊取出术,目的是保护并治愈剩余的胃黏膜。术后检查结果无异常;然而,在她取出球囊四周后,胃近端形成了一个紧密的消化性狭窄。

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Severe Gastric Ulcerations With Impending Necrosis in a Patient Who Had Gastric Balloon Insertion Following Previous Sleeve Gastrectomy.曾接受袖状胃切除术后植入胃内球囊的患者出现严重胃溃疡并伴有即将发生坏死。
Cureus. 2022 Mar 9;14(3):e22983. doi: 10.7759/cureus.22983. eCollection 2022 Mar.
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本文引用的文献

1
Intragastric Balloon Versus Endoscopic Sleeve Gastroplasty for the Treatment of Obesity: a Systematic Review and Meta-analysis.胃内球囊与内镜袖状胃切除术治疗肥胖症的比较:系统评价和荟萃分析。
Obes Surg. 2020 Aug;30(8):3010-3029. doi: 10.1007/s11695-020-04644-8.
2
Early and late complications of bariatric operation.减肥手术的早期和晚期并发症
Trauma Surg Acute Care Open. 2018 Oct 9;3(1):e000219. doi: 10.1136/tsaco-2018-000219. eCollection 2018.
3
Five-year outcomes of laparoscopic sleeve gastrectomy as a primary procedure for morbid obesity: A prospective study.
腹腔镜袖状胃切除术作为病态肥胖主要治疗手段的五年疗效:一项前瞻性研究。
World J Gastrointest Surg. 2017 Apr 27;9(4):109-117. doi: 10.4240/wjgs.v9.i4.109.
4
Current status of intragastric balloon for obesity treatment.胃内球囊治疗肥胖症的现状
World J Gastroenterol. 2016 Jun 28;22(24):5495-504. doi: 10.3748/wjg.v22.i24.5495.
5
Fasting and meal-suppressed ghrelin levels before and after intragastric balloons and balloon-induced weight loss.胃内球囊置入前后及球囊诱导减重期间的禁食和餐抑制胃饥饿素水平。
Obes Surg. 2014 Jan;24(1):85-94. doi: 10.1007/s11695-013-1053-5.
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Repeat sleeve gastrectomy compared with primary sleeve gastrectomy: a single-center, matched case study.再次行袖状胃切除术与初次行袖状胃切除术的比较:单中心、匹配病例研究。
Obes Surg. 2012 Dec;22(12):1909-15. doi: 10.1007/s11695-012-0779-9.
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Can Fam Physician. 2010 Sep;56(9):873-9.
8
Complications of bariatric surgery.减肥手术的并发症。
Minerva Chir. 2006 Apr;61(2):125-39.
9
BioEnterics Intragastric Balloon: The Italian Experience with 2,515 Patients.BioEnterics胃内球囊:意大利2515例患者的经验
Obes Surg. 2005 Sep;15(8):1161-4. doi: 10.1381/0960892055002202.