小肠长度缩短患者因吸收不良而行Roux-en-Y胃旁路术逆转术
Reversal of Roux-en-Y gastric bypass due to malabsorption in a patient with reduced small bowel length.
作者信息
Molina Gabriel A, Ayala Andres V, Zavalza Francisco, Jimenez Galo E, Parrales Diana, Vargas Carlos A, Mera Mishell A, Palacios Emilio F, Delgado Jose M
机构信息
Universidad San Francisco de Quito (USFQ), 170157, Diego de Robles y Av. Pampite & Division of Bariatric, Department of General Surgery, Hospital IESS Quito Sur, 170601, Moraspungo y Pinllopata, Quito, MD, Ecuador.
Universidad de las Américas (UDLA), 170517, Av. De los Granados & Division of Bariatric, Department of General Surgery, Hospital IESS Quito Sur, 170601, Moraspungo y Pinllopata, Quito, MD, Ecuador.
出版信息
J Surg Case Rep. 2025 Apr 24;2025(4):rjaf241. doi: 10.1093/jscr/rjaf241. eCollection 2025 Apr.
Roux-en-Y gastric bypass (RYGB) is one of the most performed bariatric procedures worldwide. Although the complication rate is low, the benefits gained from surgery outweigh many risks, including malnutrition, electrolyte imbalances, and recurrent marginal ulcers. Since RYGB changes the length of the functioning small bowel and because small bowel length is highly variable, the outcomes, which include weight loss, resolution of medical problems, and development of nutritional deficiencies or limb length, can be highly variable. We present a case of laparoscopic reversal of RYGB. A 52-year-old female patient presented with diarrhea, electrolyte imbalance, and severe weight loss 12 months after RYGB, and a reversal of RYGB was needed to overcome these severe issues. After surgery, she made a full recovery. On follow-ups, she is doing well.
Roux-en-Y胃旁路术（RYGB）是全球范围内实施最为广泛的减肥手术之一。尽管并发症发生率较低，但手术带来的益处超过了许多风险，包括营养不良、电解质失衡和复发性边缘溃疡。由于RYGB改变了功能性小肠的长度，且小肠长度个体差异很大，因此包括体重减轻、医学问题的解决以及营养缺乏或肢体长度发展等在内的手术效果可能差异很大。我们报告一例腹腔镜下RYGB逆转手术的病例。一名52岁女性患者在接受RYGB手术后12个月出现腹泻、电解质失衡和严重体重减轻，需要进行RYGB逆转手术来解决这些严重问题。术后，她完全康复。在随访中，她情况良好。
Zotero 插件