Abelman Talia, Skidmore Adam
Department of General Surgery, Albury Wodonga Health, 201 Borella Road, Albury, NSW 2640, Australia.
J Surg Case Rep. 2024 Feb 29;2024(2):rjae097. doi: 10.1093/jscr/rjae097. eCollection 2024 Feb.
Endoscopic techniques are revolutionizing bariatric surgery because of the significant risks that obesity places on both anaesthesia and surgery. Due to the high number of long-term complications that may be associated with bariatric surgery, and the relative safety of endoscopy compared to operative management, endoscopic methods for reversal of previous bariatric techniques are becoming the favoured approach. We describe the use of an endoscopic stent to assist with endoscopic reversal of a modified Long vertical gastroplasty. The modified Long vertical gastroplasty was a restrictive bariatric procedure that was effective to promote weight loss, but had adverse effects including dysphagia, reflux, indigestion and weight regain. The use of an adjunct stent not only treated the patient's reflux by dilating the stricture but allowed for erosion of the sutures intra-luminally to be removed endoscopically. The endoscopic reversal of this technique is safe and helped to relieve the patient's symptoms of reflux and dysphagia.
由于肥胖给麻醉和手术带来的重大风险，内镜技术正在彻底改变减肥手术。鉴于减肥手术可能会带来大量长期并发症，且与手术治疗相比，内镜检查相对安全，因此用于逆转先前减肥技术的内镜方法正成为首选方法。我们描述了使用内镜支架辅助改良的长垂直胃成形术的内镜逆转。改良的长垂直胃成形术是一种限制性减肥手术，对促进体重减轻有效，但有吞咽困难、反流、消化不良和体重反弹等不良反应。使用辅助支架不仅通过扩张狭窄来治疗患者的反流，还能在内镜下清除腔内缝线的侵蚀。该技术的内镜逆转是安全的，并有助于缓解患者的反流和吞咽困难症状。
