Frøyen J, Rosseland A R, Helsingen N
Endoscopy. 1985 May;17(3):91-3. doi: 10.1055/s-2007-1018468.
The incidence of stomal obstruction following gastric restrictive procedures varies with the different methods in use. This complication may cause prolonged hospitalization and even reoperation. The objective of this clinical study was to develop a safe and efficient non-operative alternative for treating stomal obstruction. We transferred current techniques and experience from endoscopic papillotomy to the field of bariatric surgery, and during the past four years we have performed fourteen endoscopic diathermy incisions in eleven patients with resistant stoma obstruction after gastroplasty. The results have been good and there have been no complications. Neither has failure to lose weight due to widening of the stoma occurred. Since we took up the procedure, there have been no relaparotomies due to stoma obstruction in our department. In conclusion, endoscopic incision of an obstructed stoma after gastroplasty is an easily-performed and highly effective alternative to other non-operative procedures for the treatment of serious complications in bariatric surgery.
胃限制性手术术后吻合口梗阻的发生率因所采用的不同方法而异。这种并发症可能导致住院时间延长，甚至需要再次手术。本临床研究的目的是开发一种安全有效的非手术替代方法来治疗吻合口梗阻。我们将当前内镜下乳头切开术的技术和经验应用于减肥手术领域，在过去四年中，我们对11例胃成形术后顽固性吻合口梗阻患者进行了14次内镜透热切开术。结果良好，未出现并发症。也没有因吻合口扩大而导致体重未减轻的情况。自我们开展该手术以来，我们科室没有因吻合口梗阻而进行再次剖腹手术的情况。总之，胃成形术后内镜下切开梗阻的吻合口是一种易于实施且高效的替代方法，可用于治疗减肥手术中的严重并发症，替代其他非手术方法。
