Pelenyi Stephanie, Lee Charles K, Fleites Orlando, Tiesenga Frederick
Anesthesia, Avalon School of Medicine, Willemstad, CUW.
Medical School, Saint James School of Medicine, Park Ridge, USA.
Cureus. 2022 Mar 9;14(3):e22999. doi: 10.7759/cureus.22999. eCollection 2022 Mar.
Bariatric surgery for the treatment of obesity, first introduced in the 1950s and 1960s, is now relatively commonplace. Often patients will first have an adjustable gastric band inserted, as this does not require altering or removing parts of the gastrointestinal tract. This procedure is associated with short hospital stays and quick recoveries and may be adjusted without further surgery. Typically only after banding fails mechanically or fails to bring about a satisfactory reduction in body mass index (BMI) do patients undergo further bariatric procedures which involve altering or removing parts of the gastrointestinal tract. Recent research has suggested that gastric banding is associated with greater weight reduction results as a secondary or follow-up procedure following a failed initial bariatric surgery. Here we report the case of a 43-year-old female with a history of cryptogenic organizing pneumonitis, gastroesophageal reflux disease (GERD), asthma, obesity, and prior sleeve gastrectomy who underwent a laparoscopic gastric band insertion to revise the prior sleeve gastrectomy, in reverse of the typical sequence of bariatric surgeries.
减肥手术用于治疗肥胖症，最早于20世纪50年代和60年代引入，如今已相对常见。通常患者首先会植入可调节胃束带，因为这不需要改变或切除胃肠道的部分。该手术住院时间短、恢复快，且无需进一步手术即可进行调整。通常只有在束带出现机械故障或未能使体重指数（BMI）得到令人满意的降低后，患者才会接受进一步的减肥手术，这些手术涉及改变或切除胃肠道的部分。最近的研究表明，作为初次减肥手术失败后的二次或后续手术，胃束带手术与更大的体重减轻效果相关。在此，我们报告一例43岁女性病例，该女性有隐源性机化性肺炎、胃食管反流病（GERD）、哮喘、肥胖病史，曾接受过袖状胃切除术，此次接受腹腔镜胃束带植入术以修正先前的袖状胃切除术，这与减肥手术的典型顺序相反。
