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胃石症，一种迷你胃旁路手术/单吻合口胃旁路手术后肠梗阻的罕见病因：病例报告

Hemobezoar, a rare cause of intestinal obstruction after mini gastric bypass/one anastomosis gastric bypass: case report.

作者信息

Ponce De Leon Jaime, Palacios Mauricio Fabian, Guachilema Ribadeneira Alex Paul, Gambino David, Ortiz Felipe

机构信息

Department Bariatric and Metabolic Surgery, Instituto Nefrologico de Tijuana Misión de San Ignacio 4428, Zona Urbana Rio Tijuana, Tijuana B.C. 22010, México.

Department Bariatric Surgery, Hospital Metropolitano Av. Mariana de Jesús, s/n, Quito, Pichincha, 170521, Ecuador.

出版信息

J Surg Case Rep. 2025 Aug 12;2025(8):rjaf610. doi: 10.1093/jscr/rjaf610. eCollection 2025 Aug.

DOI:10.1093/jscr/rjaf610
PMID:40800652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12343026/
Abstract

Hemobezoar is a rare cause of intestinal obstruction after mini gastric bypass/one anastomosis gastric bypass. Clot formation is often caused by bleeding in the anastomotic staple line. Symptoms include abdominal pain, vomiting, and abdominal distension. Surgical treatment should be performed promptly to prevent serious complications, such as anastomotic leaks, intestinal perforation, and death. Intraoperative endoscopy is useful for examining intraluminal mucosa and identifying the cause of the obstruction. This report describes a case of hemobezoar in a male patient. Few cases of hemobezoar have been reported in the literature.

摘要

胃石是迷你胃旁路术/单吻合口胃旁路术后肠梗阻的罕见原因。血凝块形成通常由吻合钉合线处出血引起。症状包括腹痛、呕吐和腹胀。应及时进行手术治疗以预防严重并发症，如吻合口漏、肠穿孔和死亡。术中内镜检查有助于检查腔内黏膜并确定梗阻原因。本报告描述了一名男性患者的胃石病例。文献中报道的胃石病例很少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/4b552881f1e4/rjaf610f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/41f9444dcc78/rjaf610f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/5f992a4418a8/rjaf610f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/7ba82cde9c8d/rjaf610f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/f9bb96b8a939/rjaf610f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/0351fb4be622/rjaf610f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/b46036ae9bb7/rjaf610f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/4b552881f1e4/rjaf610f7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/41f9444dcc78/rjaf610f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/5f992a4418a8/rjaf610f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/7ba82cde9c8d/rjaf610f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/f9bb96b8a939/rjaf610f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/0351fb4be622/rjaf610f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/b46036ae9bb7/rjaf610f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/816a/12343026/4b552881f1e4/rjaf610f7.jpg

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本文引用的文献

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2
Use of direct oral anticoagulants in patients with obesity for treatment and prevention of venous thromboembolism: Updated communication from the ISTH SSC Subcommittee on Control of Anticoagulation.肥胖患者使用直接口服抗凝剂治疗和预防静脉血栓栓塞症：ISTH SSC 抗凝控制小组委员会的最新沟通。
J Thromb Haemost. 2021 Aug;19(8):1874-1882. doi: 10.1111/jth.15358. Epub 2021 Jul 14.
3
Ileal bezoar causing bowel obstruction mimicking an internal hernia in a patient with Roux-en-Y gastric bypass.空肠胃石导致 Roux-en-Y 胃旁路术后患者肠梗阻，类似内疝。
Clin J Gastroenterol. 2020 Dec;13(6):1111-1115. doi: 10.1007/s12328-020-01183-8. Epub 2020 Jul 10.
4
Retrospective cohort study of 925 OAGB procedures. The UK MGB/OAGB collaborative group.925 例 OAGB 手术的回顾性队列研究。英国 MGB/OAGB 协作组。
Int J Surg. 2019 Sep;69:13-18. doi: 10.1016/j.ijsu.2019.07.003. Epub 2019 Jul 9.
5
Complications Following the Mini/One Anastomosis Gastric Bypass (MGB/OAGB): a Multi-institutional Survey on 2678 Patients with a Mid-term (5 Years) Follow-up.迷你/单吻合口胃旁路术（MGB/OAGB）后的并发症：一项对2678例患者进行中期（5年）随访的多机构调查
Obes Surg. 2017 Nov;27(11):2956-2967. doi: 10.1007/s11695-017-2726-2.
6
Large Hemobezoar Causing Acute Small Bowel Obstruction After Roux-en-Y Gastric Bypass: Laparoscopic Management.Roux-en-Y胃旁路术后巨大胃石导致急性小肠梗阻：腹腔镜治疗
Obes Surg. 2017 Jul;27(7):1906-1907. doi: 10.1007/s11695-017-2708-4.