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腹腔镜可调节胃束带术治疗病态肥胖后发生的脓毒性吸入性肺炎

Septic Aspiration Pneumonia After Laparoscopic Adjustable Gastric Banding for Morbid Obesity.

作者信息

Gara Tharini M, Coleman Adam B, Roten Donald P, Rhinewalt James M

机构信息

General Surgery, Liberty University College of Osteopathic Medicine, Lynchburg, USA.

Internal Medicine, Liberty University College of Osteopathic Medicine, Lynchburg, USA.

出版信息

Cureus. 2022 May 17;14(5):e25074. doi: 10.7759/cureus.25074. eCollection 2022 May.

DOI:10.7759/cureus.25074
PMID:35719793
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9202490/
Abstract

The laparoscopic adjustable gastric banding (LAGB) surgery is a minimally invasive procedure performed to help with weight loss in patients with advanced obesity with a body mass index (BMI) of >40 kg/m² or above 35 kg/m² with comorbid obesity-related health conditions (hypertension, type two diabetes mellitus, obstructive sleep apnea, etc). Although this surgery is effective for weight loss, it is imperative that close follow-up and aftercare are conducted in order to circumvent severe and rare esophageal and pulmonary complications. We report a case of systemic pulmonary and esophageal complications associated with LAGB that required immediate medical and surgical intervention in a female patient. She underwent her surgery in Mexico, and she did not receive any follow-up care for 12 years, which seemingly led to this preventable situation.

摘要

腹腔镜可调节胃束带术（LAGB）是一种微创手术，用于帮助体重指数（BMI）>40kg/m²的重度肥胖患者或BMI高于35kg/m²且伴有肥胖相关健康问题（如高血压、2型糖尿病、阻塞性睡眠呼吸暂停等）的患者减肥。尽管这种手术对减肥有效，但为避免严重且罕见的食管和肺部并发症，必须进行密切随访和术后护理。我们报告了一例与LAGB相关的全身性肺部和食管并发症病例，该病例需要对一名女性患者立即进行药物和手术干预。她在墨西哥接受了手术，12年来未接受任何随访护理，这似乎导致了这种可预防的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1492/9202490/86bef866bee6/cureus-0014-00000025074-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1492/9202490/5f89ed261578/cureus-0014-00000025074-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1492/9202490/86bef866bee6/cureus-0014-00000025074-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1492/9202490/5f89ed261578/cureus-0014-00000025074-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1492/9202490/86bef866bee6/cureus-0014-00000025074-i02.jpg

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本文引用的文献

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Prevalence of Obesity and Severe Obesity Among Adults: United States, 2017-2018.成年人肥胖和重度肥胖的患病率：美国，2017-2018 年。
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4
LAGB: regular follow-up with an interdisciplinary team is the key to success in terms of weight loss and complications.腹腔镜可调节胃束带术：由多学科团队进行定期随访是减肥及预防并发症成功的关键。
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Lap-band impact on the function of the esophagus.胃束带术对食管功能的影响。
Obes Surg. 2008 Oct;18(10):1268-72. doi: 10.1007/s11695-008-9601-0. Epub 2008 Jul 29.
8
Prevalent esophageal body motility disorders underlie aggravation of GERD symptoms in morbidly obese patients following adjustable gastric banding.普遍存在的食管体部运动障碍是病态肥胖患者在接受可调节胃束带手术后胃食管反流病症状加重的潜在原因。
Arch Surg. 2006 Mar;141(3):247-51. doi: 10.1001/archsurg.141.3.247.
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U.S. experience with 749 laparoscopic adjustable gastric bands: intermediate outcomes.美国749例腹腔镜可调节胃束带手术的经验：中期结果。
Surg Endosc. 2005 Dec;19(12):1631-5. doi: 10.1007/s00464-005-0302-7. Epub 2005 Oct 17.
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Radiology for laparoscopic adjustable gastric banding: a simplified follow-up examination method.腹腔镜可调节胃束带术的放射学检查：一种简化的随访检查方法。
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