Rozhl Chir. 2024;103(1):31-34. doi: 10.33699/PIS.2024.103.1.31-34.
Adjustable gastric banding (AGB) used to be a popular bariatric procedure. However, it fails in more than half of those operated on in the long term, becomes ineffective and must be removed. Therefore, the use of AGB has been in decline globally. Sleeve gastrectomy (SG) and Roux-en-Y gastric bypass (RYGB) are the most used bariatric revision surgeries when AGB is removed.
We present the case of a woman after AGB removal and conversion to SG who developed a stenosis of the sleeve. Therefore, a decision was made to convert to RYGB with a good effect.
Revisional procedures are more technically challenging than primary procedures and have higher complication rates. The most performed revisional operations include SG and RYGB. Stenosis of the sleeve can occur after SG, with a negative impact on the patient's nutritional status and quality of life. This can be managed by endoscopic dilatation, and where this solution proves ineffective, RYGB can be indicated.
可调节胃束带术（AGB）曾经是一种流行的减肥手术。然而，长期来看，超过一半接受手术的患者会失败，手术变得无效，必须将其移除。因此，AGB 的使用在全球范围内已经减少。当 AGB 被移除时，袖状胃切除术（SG）和 Roux-en-Y 胃旁路术（RYGB）是最常使用的减肥手术修正术。
我们介绍了一位 AGB 切除和转换为 SG 后发生袖套狭窄的女性病例。因此，决定进行 RYGB 转换，效果良好。
修正手术比初次手术更具技术挑战性，并且并发症发生率更高。最常进行的修正手术包括 SG 和 RYGB。SG 后可能会发生袖套狭窄，对患者的营养状况和生活质量产生负面影响。这可以通过内镜扩张来治疗，如果该解决方案无效，可以考虑进行 RYGB。
