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胆囊缩作为内镜袖胃形成术的罕见并发症:一个病例报告

Cesar D Quiroz Guadarrama¹, Luis Andres Saenz Romero¹, Eric Misael Saucedo Moreno²

¹Obesity Clinic and Bariatric Surgery, Dr. Manuel Gea González General Hospital, México 14080, Mexico.

World journal of gastrointestinal endoscopy

|October 30, 2023

概括

胆囊损伤是内镜袖胃形成术 (ESG) 的罕见并发症. 这一案例突显了胆囊缩,这是一个严重的并发症,需要进行手术,并在ESG后立即诊断.

科学领域:

胃肠病学胃肠病学
最少侵入性的手术
减肥治疗程序减肥治疗程序

背景情况:

内镜套管胃形成术 (ESG) 是一种具有较低并发症率的微创肥胖治疗方法.
胆囊损伤是ESG异常罕见的并发症,全球仅有两份先前报告.

研究的目的:

在ESG之后报告一种罕见的胆囊损伤病例.
强调在ESG后呈现急性胆囊炎症状的患者考虑胆囊复合的重要性.

主要方法:

一个34岁的患者的病例介绍,患有ESG后并发症.
诊断工作包括体检,实验室测试和计算机断层扫描.
手术干预包括诊断性腹腔镜检查,腹腔镜胆囊切除术和洗.

主要成果:

患者呈现出表胃疼痛和阳性墨菲的迹象后ESG.
图像检测显示,在胃的哈特曼囊附近有自由液体和可能的 suture.
腹腔镜检查结果证实了胆囊向前胃壁结,需要胆囊切除术.

结论:

胆囊折叠是ESG的潜在并发症,尽管很少见.
在接受ESG后表现出急性胆囊炎症状的患者中,怀疑胆囊缩.

关键词:

腹腔外科手术是什么意思案例报告案例报告复杂化复杂化复杂化复杂化内镜检查是指内镜检查.胃口整形术是一种消化整形术.

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