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Roux-en-Y 肠套叠:一例报告

Roux-en-Y Intussusception: A Case Report.

作者信息

Ibrahim Lina, Potdar Santosh

机构信息

Chemistry, University of South Florida, Tampa, USA.

General Surgery, Tampa General Hospital Brooksville, Brooksville, USA.

出版信息

Cureus. 2025 Jan 27;17(1):e78088. doi: 10.7759/cureus.78088. eCollection 2025 Jan.

Abstract

Roux-en-Y gastric bypass (RYGB) is a bariatric surgical procedure commonly performed in adults to treat severe obesity. While RYGB is generally safe, it occasionally leads to rare but significant complications, including intussusception, a form of bowel obstruction caused by the invagination of an intestine segment from the proximal to the adjacent distal portion. We report a case of intussusception in a 74-year-old female patient who underwent RYGB 12 years prior. A computed tomography (CT) scan revealed jejunal intussusception accompanied by internal herniation, which was subsequently confirmed through exploratory laparotomy. The segments in intussusception were successfully reduced without any complications. Postoperative follow-up demonstrated the absence of recurrence or any additional complications.

摘要

Roux-en-Y胃旁路术(RYGB)是一种常用于成人治疗重度肥胖的减肥手术。虽然RYGB一般是安全的,但偶尔会导致罕见但严重的并发症,包括肠套叠,这是一种由一段肠管从近端向相邻远端内陷引起的肠梗阻形式。我们报告一例74岁女性患者的肠套叠病例,该患者12年前接受了RYGB手术。计算机断层扫描(CT)显示空肠肠套叠伴有内疝,随后通过剖腹探查得以证实。套叠的肠段成功复位,无任何并发症。术后随访显示无复发或其他并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/40fd/11774634/3ac8ed1ea5d2/cureus-0017-00000078088-i01.jpg

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