Abrol Robinder, Mushtaq Muhammad, Muftah Abdullah, Samreen Sarah, Yang Juliana
Department of Internal Medicine, Division of Gastroenterology, University of Texas Medical Branch, Galveston, TX.
Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX.
ACG Case Rep J. 2024 Sep 19;11(9):e01524. doi: 10.14309/crj.0000000000001524. eCollection 2024 Sep.
As techniques have been refined, more patients in the United States have undergone bariatric surgery for weight loss. These surgeries alter the gastrointestinal tract to restrict caloric intake. While most surgeons prefer sleeve gastrectomy and Roux-en-Y gastric bypass, some older procedures, like vertical band gastroplasty, have fallen out of favor due to late complications. In any bariatric procedure, endoscopy can be challenging if indicated due to altered anatomy. Here, we present a case of challenging anatomy due to remote vertical band gastroplasty in a patient presenting with cholangitis, highlighting the effective use of a lumen-apposing metal stent across a vertical band stenosis.
随着技术的不断完善，美国越来越多的患者接受了减肥的减重手术。这些手术改变胃肠道以限制热量摄入。虽然大多数外科医生更喜欢袖状胃切除术和Roux-en-Y胃旁路术，但一些较老的手术，如垂直束带胃成形术，由于晚期并发症而不再受欢迎。在任何减重手术中，如果因解剖结构改变而有必要进行内镜检查，都可能具有挑战性。在此，我们报告一例因既往垂直束带胃成形术导致解剖结构复杂的病例，该患者出现胆管炎，强调了在垂直束带狭窄处有效使用管腔对接金属支架的情况。
