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胃束带术后15年的异常移位:1例复杂病例的腹腔镜处理

Unusual Migration of a Gastric Band 15 Years Post-surgery: Laparoscopic Management of a Challenging Case.

作者信息

Verzoviti Ioanna, Delladetsima Katerina, Keramidaris Dimitrios

机构信息

Department of General Surgery, 417 Army Shared Fund Hospital, Athens, GRC.

出版信息

Cureus. 2025 Jul 8;17(7):e87533. doi: 10.7759/cureus.87533. eCollection 2025 Jul.

Abstract

The laparoscopic adjustable gastric band surgery (LAGB) is a surgical technique that was widely used in the past for the treatment of morbid obesity. Nowadays, it is on the decline due to its moderate results in weight loss, coupled with a significant risk of complications. Among others, band erosion and migration are relatively common and require gastric band removal. These conditions might be difficult to manage, as there is also a high possibility of post-surgical complications. Herein we present the case of a 46-year-old woman with port protrusion and erosion, as well as migration of the band in an atypical position inside the abdomen, occurring 15 years after a gastric band procedure, and its successful management.

摘要

腹腔镜可调节胃束带手术(LAGB)是过去广泛用于治疗病态肥胖症的一种外科技术。如今,由于其减肥效果一般,且并发症风险较高,该手术的应用正在减少。其中,束带侵蚀和移位相对常见,需要移除胃束带。这些情况可能难以处理,因为术后并发症的可能性也很高。在此,我们报告一例46岁女性患者的病例,该患者在接受胃束带手术后15年出现端口突出、侵蚀以及束带在腹腔内非典型位置的移位,并成功进行了处理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/abce/12331133/8db88753cc57/cureus-0017-00000087533-i01.jpg

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