对于病态肥胖症的腹腔镜袖子胃切除术后的后果:一个病例系列
Hosam Hamed1, Mahmoud Abdelwahab Ali1, El-Sayed Abou El-Magd2
1Department of General Surgery, Faculty of Medicine, Gastrointestinal Surgical Center GISC, Mansoura University, Gehan Street, Mansoura, 35511, Al Dakahlia Governorate, Egypt.
腹腔镜袖子胃切除术 (LSG) 后的输卵管血栓症 (PMVT) 可能导致阴茎狭窄. 早期保守的PMVT管理仍然可能导致肠道阻塞,需要手术干预.
科学领域:
- 胃肠道学和肝病学
- 外科胃肠道外科手术
- 腹部外科 腹部外科
背景情况:
- 波尔图-中枢静脉血栓症 (PMVT) 是拉巴镜式袖子胃切除术 (LSG) 后的一种罕见并发症,影响不到1%的患者.
- 保守的管理,主要是抗凝药,往往是成功的PMVT在稳定的患者没有缺血或腹膜炎的迹象.
- 缺血性小肠狭窄是保守管理的PMVT的记录不足的后续.
研究的目的:
- 报告在PMVT后LSG保守管理后出现的三例关狭窄病例.
- 要突出在LSG之后的PMVT与随后的缺血性肠狭窄的发展之间的关联.
主要方法:
- 对三名接受了LSG并随后发展为脊髓狭窄症的患者进行了回顾性分析.
- 用抗凝固药物进行PMVT的初始保守治疗.
- 诊断工作包括上部胃肠道系列和腹部CT扫描,以怀疑肠道阻塞.
- 通过腹腔镜进行手术干预,切除狭窄的节段的解剖.
主要成果:
- 这三名患者在LSG后经历了无事件的术后过程.
- 在保守的PMVT管理后,所有患者都呈现上肠阻塞症状.
- 经由成像检查证实了结节狭窄的诊断,并成功进行了手术切除和解剖.
结论:
- 缺血性结狭窄可以发生在LSG后的PMVT延迟并发症,即使在成功的保守治疗后也是如此.
- 腹部外科医生必须保持对这种罕见并发症的高度怀疑指数,以确保及时诊断和管理.
- 对这种关联的认识对于及时识别和治疗LSG后PMVT相关的肠收缩至关重要.
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