Kimchy Alexandra, Khambaty Fatima, Marino Gustavo
Department of Gastroenterology, MedStar Georgetown University Hospital, Washington, DC.
Department of General Surgery, District of Columbia Veteran Affairs Medical Center, Washington, DC.
ACG Case Rep J. 2025 Jan 8;12(1):e01591. doi: 10.14309/crj.0000000000001591. eCollection 2025 Jan.
The rising prevalence of obesity has led to a substantial investment in the advancement of treatment options for the disease and its comorbid conditions including lifestyle, pharmacologic, and procedural interventions. In this study, we describe a patient with a history of Roux-en-Y gastric bypass who was diagnosed with ischemic jejunitis on upper endoscopy because of the development of an internal hernia, a known late complication of bariatric surgery. This case highlights the diagnostic utility of endoscopy in postgastric bypass complications and the need for safer alternatives to surgery that have the potential to achieve significant weight loss such as bariatric endoscopic therapies.
肥胖患病率的不断上升促使人们在该疾病及其合并症的治疗方案推进方面投入了大量资金，这些治疗方案包括生活方式干预、药物治疗和手术干预。在本研究中，我们描述了一名有Roux-en-Y胃旁路手术史的患者，该患者因发生内疝（一种已知的减肥手术后晚期并发症），在内镜检查时被诊断为缺血性空肠炎。该病例突出了内镜检查在胃旁路术后并发症诊断中的作用，以及对更安全的手术替代方案的需求，这些替代方案有可能实现显著的体重减轻，如减肥内镜治疗。
