El Feghali Elie, Akel Rhea, Chamaa Bilal, Kazan Daniel, Chakhtoura Ghassan
Department of General Surgery, Saint Joseph University, Beirut 1107, Lebanon.
Department of Radiology, Saint Joseph University, Beirut 1107, Lebanon.
World J Gastrointest Surg. 2023 Sep 27;15(9):2083-2088. doi: 10.4240/wjgs.v15.i9.2083.
Gallstone ileus following one anastomosis gastric bypass (OAGB) is an exceptionally rare complication. The presented case report aims to highlight the unique occurrence of this condition and its surgical management. Understanding the clinical presentation, diagnostic challenges and successful surgical intervention in such cases is crucial for healthcare professionals involved in bariatric surgery.
We present a case report of gallstone ileus following OAGB and discuss its diagnosis and surgical management. A 66-year-old female with a history of OAGB presented to the emergency room with symptoms of small bowel obstruction. Computed tomography scan revealed a gallstone impacted in the distal ileum, causing obstruction. The patient underwent a laparoscopically assisted enterolithotomy, during which the gallstone was extracted and the enterotomy was closed. The patient had an uneventful recovery and was discharged on postoperative day four.
Gallstone ileus should be considered as a possible complication after OAGB, and prompt surgical intervention is usually required for its management. This case report contributes to the limited existing literature, providing insights into the management of this uncommon complication.
单吻合口胃旁路术（OAGB）后发生的胆石性肠梗阻是一种极为罕见的并发症。本病例报告旨在突出这种情况的独特发生及其手术治疗。了解此类病例的临床表现、诊断挑战和成功的手术干预对于参与减肥手术的医疗专业人员至关重要。
我们呈现一例OAGB术后胆石性肠梗阻的病例报告，并讨论其诊断和手术治疗。一名有OAGB病史的66岁女性因小肠梗阻症状就诊于急诊室。计算机断层扫描显示一枚胆结石嵌顿于回肠末端，导致梗阻。患者接受了腹腔镜辅助肠石切除术，术中取出胆结石并关闭肠切口。患者恢复顺利，术后第四天出院。
胆石性肠梗阻应被视为OAGB术后可能出现的并发症，通常需要及时进行手术干预以进行治疗。本病例报告为现有的有限文献做出了贡献，为这种罕见并发症的治疗提供了见解。
