大量使用非甾体抗炎药后迟发性胃束带侵蚀
Late-Onset Gastric Band Erosion Following Heavy Nonsteroidal Anti-inflammatory Drug Use.
作者信息
Makovich Zachary, Patel Brijesh
机构信息
Department of Internal Medicine, University of South Florida, Tampa, FL.
Department of Gastroenterology, James A. Haley Veterans' Hospital, Tampa, FL.
出版信息
ACG Case Rep J. 2024 Apr 19;11(4):e01343. doi: 10.14309/crj.0000000000001343. eCollection 2024 Apr.
Abstract
Laparoscopic adjustable gastric band (LAGB) surgery is now an uncommon bariatric procedure; however, complications may still be encountered. A 64-year-old man with a history of LAGB placement 13 years prior presented with 2 months of epigastric pain. He endorsed chronic heavy nonsteroidal anti-inflammatory drug use. Computed tomography showed inflammation around the LAGB tubing with near-complete, circumferential erosion of the LAGB into the fundus. Upper endoscopy confirmed erosion of the LAGB along with port tubing into the gastroesophageal junction and fundus. The patient was referred to a foregut surgeon who performed robotic band removal.
摘要
腹腔镜可调节胃束带（LAGB）手术如今已不再是常见的减肥手术；然而，仍可能会出现并发症。一名64岁男性，13年前接受过LAGB手术，现出现上腹部疼痛2个月。他认可长期大量使用非甾体抗炎药。计算机断层扫描显示LAGB导管周围有炎症，LAGB几乎完全环周性侵蚀至胃底。上消化道内镜检查证实LAGB连同端口导管侵蚀至胃食管交界处和胃底。该患者被转诊至一名前肠外科医生处，后者进行了机器人辅助胃束带移除手术。
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