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袖状胃切除术后急性食管裂孔疝:一例报告

Acute Hiatal Hernia After Sleeve Gastrectomy: A Case Report.

作者信息

Ortiz Ariel A, Cárdenas-Salas Victor Daniel, Martinez Gamboa Arturo, Moreno Daniel E, Muñoz Leija Milton Alberto

机构信息

Bariatric Surgery, International Institute of Metabolic Medicine, Tijuana, MEX.

General Surgery, Universidad de Monterrey, San Nicolas de los Garza, MEX.

出版信息

Cureus. 2024 Sep 12;16(9):e69260. doi: 10.7759/cureus.69260. eCollection 2024 Sep.

Abstract

Obesity is considered the pandemic of this century. With the popularization of bariatric surgery due to its effectiveness, the number of procedures has significantly increased. One of the most performed surgeries is sleeve gastrectomy (SG). It is a safe procedure that rarely presents complications, with the most common being bleeding or staple line leaks. However, there are other less common complications or those that have been infrequently reported in the literature, such as acute hiatal hernia (AHH), which may require additional surgical intervention if it occurs. As the number of bariatric procedures performed worldwide increases, the likelihood of encountering these low-incidence complications also rises. The few cases reported in the literature describe different surgical techniques for this complication. The objective of this study is to describe the case of a female patient who developed AHH after undergoing SG, which was successfully treated with reduction and omentopexy in Mexico.

摘要

肥胖被认为是本世纪的大流行病。由于减肥手术效果显著,其普及程度不断提高,手术数量大幅增加。最常施行的手术之一是袖状胃切除术(SG)。这是一种安全的手术,很少出现并发症,最常见的是出血或吻合口漏。然而,还有其他不太常见的并发症或文献中报道较少的并发症,如急性食管裂孔疝(AHH),如果发生可能需要额外的手术干预。随着全球范围内减肥手术数量的增加,遇到这些低发病率并发症的可能性也在上升。文献中报道的少数病例描述了针对这种并发症的不同手术技术。本研究的目的是描述一名女性患者在接受SG后发生AHH的病例,该病例在墨西哥通过复位和网膜固定术成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afbe/11470836/1e758f9b2734/cureus-0016-00000069260-i01.jpg

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