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胃旁路手术后的肠梗阻:一篇叙述性综述

Bowel Obstruction After Gastric Bypass Surgery: A Narrative Review.

作者信息

George Athul Pratheesh, Erekat Khaled W, Mohammed Cara, Kaur Navrooh, Kaur Arshpreet, Adhikari Shushrusha, Rahman Aaliya, Lakshmannagari Himayath, Tavera-Castaño Cesar D, Vallakati Mounika, Kaur Sehajpreet, Nazir Zahra

机构信息

Nephrology, Amala Institute of Medical Sciences, Thrissur, IND.

General Surgery, King Hussein Medical Center, Amman, JOR.

出版信息

Cureus. 2024 Dec 9;16(12):e75386. doi: 10.7759/cureus.75386. eCollection 2024 Dec.

Abstract

Bowel obstruction is a common complication that can affect patients due to different factors, including after a history of gastric bypass surgery. This review was conducted by searching the literature using both PubMed and Google Scholar for articles relating to bowel obstructions. Fifty-six articles were found after applying inclusion and exclusion criteria. Based on the literature search, there are many causes of bowel obstruction, the most common of which include internal hernias, adhesions, and intussusception. Regarding management strategies, surgery is usually the definitive treatment method, but other studies favor a non-surgical approach depending on the specific case. Bowel obstruction is a significant complication that can occur post gastric bypass surgery. This review sheds light on various causes of bowel obstruction, including the possible treatment options, prevention of bowel obstruction that could be achieved by implementing different surgical techniques, the importance of postoperative monitoring, and timely intervention.

摘要

肠梗阻是一种常见的并发症,可因不同因素影响患者,包括在胃旁路手术后。本综述通过使用PubMed和谷歌学术搜索与肠梗阻相关的文章进行。在应用纳入和排除标准后,共找到56篇文章。基于文献检索,肠梗阻有许多原因,其中最常见的包括内疝、粘连和肠套叠。关于治疗策略,手术通常是确定性的治疗方法,但其他研究根据具体情况倾向于非手术方法。肠梗阻是胃旁路手术后可能发生的一种严重并发症。本综述揭示了肠梗阻的各种原因,包括可能的治疗选择、通过实施不同手术技术预防肠梗阻、术后监测的重要性以及及时干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c5d/11709115/86d778be69dc/cureus-0016-00000075386-i01.jpg

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