小肠阻塞次要的 laparoscopic 可调节的胃带连接管的交织在半肠内:一个案例报告
Kapish Sharma1, Sara Arfan1, Sri Sai Prasanna Thota2
1General Surgery, Windsor University School of Medicine, Cayon, KNA.
Cureus
|July 6, 2023
概括
laparoscopic调节性胃带 (LAGB) 的罕见并发症是小肠阻塞 (SBO). 这一案例突出显示了SBO是由于LAGB连接管与间管在手术后两年交织在一起引起的.
科学领域:
- 腹部外科 腹部外科
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
背景情况:
- 腹腔镜调节性胃带 (LAGB) 是一种用于疾病肥胖症的常见减肥手术.
- 虽然并发症很少见,但需要迅速识别和管理.
- 小肠阻塞 (SBO) 是一个罕见但严重的LAGB后并发症.
研究的目的:
- 报告一个罕见的SBO二次病例给LAGB.
- 强调在术后患者中考虑LAGB设备并发症的重要性.
- 提高医疗保健专业人员对这种特定并发症的认识.
主要方法:
- 一个46岁的女性患者的病例报告.
- 通过计算机断层扫描 (CT) 扫描支持的临床诊断.
- 涉及探索性腹腔镜转换为腹腔切除术的手术干预.
主要成果:
- 高度SBO的诊断通过CT扫描证实.
- 确定 LAGB 连接管与介质管交织的原因,并将粘合物作为原因.
- 成功的手术干预缓解了阻塞.
结论:
- LAGB连接管与介质管的交织可以导致SBO.
- 这种罕见的并发症需要腹部外科医生和急救人员保持警.
- 设备制造商应该意识到可能的长期与设备相关的并发症.
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