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腹腔镜下单吻合十二指肠转位术（SADI-S）转换为Roux-en-Y胃旁路术并同期修复食管旁疝治疗难治性胆汁反流和食管旁疝

Laparoscopic Conversion of Single-Anastomosis Duodenal Switch (SADI-S) to Roux-en-Y Gastric Bypass With Concurrent Paraesophageal Hernia Repair for Refractory Biliary Reflux and Paraesophageal Hernia.

作者信息

Wargel Zachary M, Ritchie Timothy W, Shapera Emanuel, Wheeler Andrew A

机构信息

Bariatric Surgery, University of Missouri School of Medicine, Columbia, USA.

Surgery, Sharp Grossmont Hospital, La Mesa, USA.

出版信息

Cureus. 2023 Mar 15;15(3):e36205. doi: 10.7759/cureus.36205. eCollection 2023 Mar.

DOI:10.7759/cureus.36205
PMID:37069860
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10105006/
Abstract

Single-anastomosis duodenal switch (SADI-S) is effective for weight loss with low reported rates of complications. Bile reflux into the stomach or esophagus is an uncommonly reported complication but can lead to significant symptoms for patients suffering from this complication. Concurrent paraesophageal hernia can exacerbate the symptoms of biliary reflux gastritis. We present a case report describing the management of biliary reflux gastritis with concurrent paraesophageal hernia, our decision-making process, and technical pearls and possible pitfalls.

摘要

单吻合口十二指肠转位术（SADI-S）在减肥方面效果显著，且报道的并发症发生率较低。胆汁反流至胃或食管是一种较少报道的并发症，但会给患有该并发症的患者带来严重症状。同时存在的食管旁疝会加重胆汁反流性胃炎的症状。我们在此报告一例病例，描述了并发食管旁疝的胆汁反流性胃炎的治疗、我们的决策过程以及技术要点和可能存在的陷阱。

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本文引用的文献

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Obes Surg. 2021 Jul;31(7):3303-3311. doi: 10.1007/s11695-021-05456-0. Epub 2021 May 6.
2
Repair of post-bariatric surgery, recurrent, and de novo hiatal hernias improves bloating, abdominal pain, regurgitation, and food intolerance.减重手术后、复发性和新发的食管裂孔疝的修复可改善腹胀、腹痛、反流和食物不耐受。
Surg Obes Relat Dis. 2021 Apr;17(4):683-691. doi: 10.1016/j.soard.2020.12.006. Epub 2020 Dec 14.
3
Concurrent hiatal hernia repair and bariatric surgery: outcomes after sleeve gastrectomy and Roux-en-Y gastric bypass.
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Surg Obes Relat Dis. 2021 Jan;17(1):72-80. doi: 10.1016/j.soard.2020.08.035. Epub 2020 Sep 3.
4
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5
Sleeve gastrectomy with concomitant hiatal hernia repair in obese patients: long-term results on gastroesophageal reflux disease.肥胖患者行袖状胃切除术联合食管裂孔疝修补术：胃食管反流病的长期疗效。
Surg Obes Relat Dis. 2020 Sep;16(9):1171-1177. doi: 10.1016/j.soard.2020.04.049. Epub 2020 May 11.
6
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Obes Surg. 2019 Apr;29(4):1410-1415. doi: 10.1007/s11695-019-03715-9.
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Surg Obes Relat Dis. 2018 May;14(5):594-601. doi: 10.1016/j.soard.2018.01.020. Epub 2018 Feb 2.