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通过超选择性腹腔动脉线圈栓塞术对胃旁路手术后的术后出血进行高级管理。

Advanced management of postoperative hemorrhage following gastric bypass surgery through super-selective celiac artery coil embolization.

作者信息

Arain Nimra Razaque, Fatima Laveeza, Arain Umair Razaque, Khan Ahmed Kamal Nasir

机构信息

South City Hospital, Karachi, Pakistan.

Allama Iqbal Medical College, Lahore, Pakistan.

出版信息

Radiol Case Rep. 2024 Aug 30;19(11):5380-5383. doi: 10.1016/j.radcr.2024.07.195. eCollection 2024 Nov.

DOI:10.1016/j.radcr.2024.07.195
PMID:39280749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11402165/
Abstract

A 36-year-old male presented with dizziness and melena 5 years post laparoscopic Roux-en-Y gastric bypass (LRYGB). Initial treatments with proton pump inhibitors and blood transfusions was followed by esophagogastroduodenoscopy (EGD) and CT angiography, identifying an active arterial bleed at the gastrojejunal anastomosis. Super-selective celiac artery coil embolization successfully controlled the bleeding. This case highlights the importance of considering late-onset gastrointestinal bleeding as a potential complication post-LRYGB. Early diagnosis and intervention, including advanced radiological techniques, are crucial for successful management and optimal patient outcomes.

摘要

一名36岁男性在腹腔镜Roux-en-Y胃旁路术（LRYGB）后5年出现头晕和黑便。最初使用质子泵抑制剂和输血治疗，随后进行了食管胃十二指肠镜检查（EGD）和CT血管造影，确定在胃空肠吻合处有活动性动脉出血。超选择性腹腔动脉线圈栓塞成功控制了出血。该病例强调了将迟发性胃肠道出血视为LRYGB术后潜在并发症的重要性。早期诊断和干预，包括先进的放射学技术，对于成功治疗和实现最佳患者预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/1c5c15dbe85a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/9a70c758861b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/2474e8970956/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/7744bffbd6e2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/1c5c15dbe85a/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/9a70c758861b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/2474e8970956/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/7744bffbd6e2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/15bc/11402165/1c5c15dbe85a/gr4.jpg

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本文引用的文献

1
Bariatric surgery: to bleed or not to bleed? This is the question.减重手术：出血还是不出血？这是个问题。
BMC Surg. 2022 Sep 4;22(1):331. doi: 10.1186/s12893-022-01783-w.
2
Late postoperative bleeding after Roux-en-Y gastric bypass: management and review of literature.Roux-en-Y胃旁路术后晚期出血：文献综述与处理
BMJ Case Rep. 2018 Dec 9;11(1):e226271. doi: 10.1136/bcr-2018-226271.
3
Early and late abdominal bleeding after Roux-en-Y gastric bypass: sources and tailored therapeutic strategies.Roux-en-Y 胃旁路术后早晚期腹腔出血：出血来源及针对性治疗策略。
Obes Surg. 2011 Apr;21(4):413-20. doi: 10.1007/s11695-011-0354-9.
4
No correlation between anti-factor Xa levels, low-molecular-weight heparin, and bleeding after gastric bypass.胃旁路术后抗Xa因子水平、低分子量肝素与出血之间无相关性。
Surg Obes Relat Dis. 2007 Jul-Aug;3(4):469-75. doi: 10.1016/j.soard.2006.12.012. Epub 2007 Jun 12.
5
Gastrointestinal hemorrhage after laparoscopic gastric bypass.腹腔镜胃旁路术后胃肠道出血
Obes Surg. 2004 Nov-Dec;14(10):1308-12. doi: 10.1381/0960892042583879.
6
Marginal ulcer after gastric bypass: a prospective 3-year study of 173 patients.胃旁路术后边缘性溃疡：173例患者的前瞻性3年研究
Obes Surg. 1998 Oct;8(5):505-16. doi: 10.1381/096089298765554061.
7
Stomal ulcer after gastric bypass.
J Am Coll Surg. 1997 Jul;185(1):1-7. doi: 10.1016/s1072-7515(01)00873-0.