硅胶环垂直胃成形术后发生大量出血性胃囊溃疡，经内镜成功治疗：两例报告

Massively bleeding gastric pouch ulcer after silastic ring vertical gastroplasty successfully treated endoscopically: a report of two cases.

作者信息

Kyzer S, Gelber E, Rabinovich Y, Lurie B, Binder Y, Chaimoff C

机构信息

Department of Surgery, Rabin Medical Center (Golda Campus), Petah Tiqva, Israel.

出版信息

Obes Surg. 1997 Apr;7(2):158-60. doi: 10.1381/096089297765556088.

DOI:10.1381/096089297765556088

PMID:9730544

Abstract

Two patients who developed massive bleeding from a gastric pouch ulcer are described. This rare complication occurred during the early postoperative course after silicone ring vertical gastroplasty (SRVG). In both cases the bleeding stopped after the ulcers were injected with epinephrine and alcohol. Both ulcers healed after 1 month of treatment with omeprazole (Losec). The probable etiology of this rare complication is discussed.

摘要

本文描述了两名因胃小囊溃疡而发生大出血的患者。这种罕见的并发症发生在硅胶环垂直胃成形术（SRVG）后的术后早期。在这两例病例中，向溃疡内注射肾上腺素和酒精后出血停止。用奥美拉唑（洛赛克）治疗1个月后，两个溃疡均愈合。本文讨论了这种罕见并发症的可能病因。