胃束带术后空肠内迁移伴肠梗阻和穿孔：一例报告
Intra-jejunal migration with intestinal obstruction and perforation after gastric banding: A case report.
作者信息
Aili Aikebaier, Li Xin, Abudureyimu Kelimu
机构信息
Department of Minimally Invasive Surgery, Hernia and Abdominal Wall Surgery, People's Hospital of Xinjiang Uyghur Autonomous Region, Urumqi 830011, China.
Institute of General Surgery and Minimally Invasive Surgery, People's Hospital of Xinjiang Uyghur Autonomous Region, Urumqi 830011, China.
出版信息
Heliyon. 2023 Oct 7;9(10):e20756. doi: 10.1016/j.heliyon.2023.e20756. eCollection 2023 Oct.
Laparoscopic adjustable gastric banding (LAGB) is an approved procedure in bariatric surgery. However, serious complications due to band erosion have been reported. There have been few reports of intestinal obstruction and perforation caused by gastric banding invading the gastric wall and migrating to the jejunum. Case introduction: A 56-year-old man was admitted to our hospital with right lower abdominal pain ten years after LAGB surgery. An intraoperative gastric band showed erosion of the gastric wall and movement down to the jejunum, resulting in intestinal obstruction and jejunal perforation. Conclusion: Patients should undergo regular outpatient gastroscopic follow-up after gastric band surgery to prevent serious complications.
腹腔镜可调节胃束带术（LAGB）是减肥手术中一种已获批准的术式。然而，已有因束带侵蚀导致严重并发症的报道。胃束带侵入胃壁并迁移至空肠引起肠梗阻和穿孔的报道较少。病例介绍：一名56岁男性在接受LAGB手术后10年因右下腹痛入院。术中发现胃束带侵蚀胃壁并下移至空肠，导致肠梗阻和空肠穿孔。结论：胃束带手术后患者应定期接受门诊胃镜随访，以预防严重并发症。
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