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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.

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/fb273399430c/ac9-12-e01740-g001.jpg

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