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一例“胃肿物”的罕见表现

An Unusual Presentation of a "Gastric Mass".

作者信息

Washburn Madeline, Bejcek Justin, Ancha Anupama, Bejcek Alexis, Williams Christopher

机构信息

Department of Medicine, Division of Internal Medicine, Baylor Scott and White Medical Center, Temple, TX.

Department of Medical Education, Edward Via College of Osteopathic Medicine, Louisiana, Monroe, LA.

出版信息

ACG Case Rep J. 2025 Jun 16;12(6):e01740. doi: 10.14309/crj.0000000000001740. eCollection 2025 Jun.

DOI:10.14309/crj.0000000000001740
PMID:40524810
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169958/
Abstract

Gastric bands have been used since the 1970s for weight loss. Owing to a rise in complications, this procedure has significantly decreased in popularity. Our study describes a 63-year-old woman with a history of nonadjustable gastric band placement 30 years ago who presented with an incidental imaging finding concerning for a gastric mass. Esophagoduodenoscopy revealed erosion of gastric band material through the gastric wall. Our case highlights the importance of endoscopy for assessment of abnormal imaging, including surgical complications in the differential for intraluminal masses, and obtaining a thorough surgical history.

摘要

自20世纪70年代以来,胃束带就被用于减肥。由于并发症的增加,这种手术的受欢迎程度已大幅下降。我们的研究描述了一名63岁女性,她在30年前接受了不可调节胃束带置入手术,此次因偶然的影像学检查发现胃内有肿物而就诊。食管十二指肠镜检查发现胃束带材料穿过胃壁发生侵蚀。我们的病例强调了内镜检查对于评估异常影像的重要性,包括腔内肿物鉴别诊断中的手术并发症,并获取完整的手术史。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbde/12169958/4427829b0fa1/ac9-12-e01740-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbde/12169958/fb273399430c/ac9-12-e01740-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbde/12169958/4427829b0fa1/ac9-12-e01740-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbde/12169958/fb273399430c/ac9-12-e01740-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbde/12169958/4427829b0fa1/ac9-12-e01740-g002.jpg

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本文引用的文献

1
Endoscopic removal of 2 types of eroded gastric bands using endoscopic scissors.使用内镜剪刀经内镜切除两种类型的侵蚀性胃束带。
VideoGIE. 2024 Mar 19;9(6):271-273. doi: 10.1016/j.vgie.2024.03.005. eCollection 2024 Jun.
2
Outcomes of Endoscopic Sleeve Gastroplasty Following Laparoscopic Adjustable Gastric Band: A Propensity Score-matched Analysis.胃袖状切除术治疗腹腔镜可调节胃束带术的结果:倾向评分匹配分析。
Surg Laparosc Endosc Percutan Tech. 2024 Apr 1;34(2):185-189. doi: 10.1097/SLE.0000000000001265.
3
Endoscopic Management of Gastric Band Erosion: a Systematic Review and Meta-Analysis.
内镜治疗胃束带侵蚀:系统评价和荟萃分析。
Obes Surg. 2024 Feb;34(2):494-502. doi: 10.1007/s11695-023-06995-4. Epub 2023 Dec 29.
4
Meta-analysis of patient risk factors associated with post-bariatric surgery leak.与减重手术后渗漏相关的患者风险因素的Meta分析。
Obes Sci Pract. 2022 Jul 15;9(2):112-126. doi: 10.1002/osp4.628. eCollection 2023 Apr.
5
Endoscopic Gastric Band Removal.内镜下胃束带移除术。
J Clin Med. 2023 Jan 12;12(2):617. doi: 10.3390/jcm12020617.
6
Gastroscopy as a rare cause of 'Slipped gastric band', in a patient with previous laparoscopic adjustable gastric band surgery.胃镜检查作为“胃束带滑脱”的罕见病因,该患者曾行腹腔镜可调胃束带手术。
BMJ Case Rep. 2022 Nov 17;15(11):e252952. doi: 10.1136/bcr-2022-252952.
7
Hiatus Hernia as a Complication of Gastric Banding: A Systematic Review and Meta-Analysis.胃束带术并发症之食管裂孔疝:一项系统评价与Meta分析
Cureus. 2022 Sep 28;14(9):e29704. doi: 10.7759/cureus.29704. eCollection 2022 Sep.
8
Unexpected Gastrointestinal Tract injury years following Laparoscopic Adjustable Gastric Banding.腹腔镜可调节胃束带术后数年出现的意外胃肠道损伤
Int J Surg Case Rep. 2020;77:412-417. doi: 10.1016/j.ijscr.2020.11.023. Epub 2020 Nov 7.
9
A case report of an adjustable gastric band erosion and migration into the jejunum resulting in biliary obstruction.一例可调节胃束带侵蚀并迁移至空肠导致胆道梗阻的病例报告。
Int J Surg Case Rep. 2019;64:139-142. doi: 10.1016/j.ijscr.2019.10.025. Epub 2019 Oct 18.
10
Clinical management of patients presenting with non-adjustable gastric band (NAGB) complications.非可调式胃束带(NAGB)并发症患者的临床管理。
Yale J Biol Med. 2014 Jun 6;87(2):159-66. eCollection 2014 Jun.