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在手套胃切除术后的术后胃卷发和胰腺炎
Shane B Devine1, Sam J King1, Bradley J Chatterton1
1Internal Medicine, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.
Cureus
|January 26, 2024
概括
laparoscopic 袖子胃切除术可能导致罕见的并发症,如胃出口阻塞和胰腺炎. 建议对持续的症状进行早期内镜和脂酶检测,即使是正常的CT扫描.
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:
- 腹腔镜袖胃切除术是用于减肥和管理与肥胖有关的疾病的流行减肥手术.
- 袖子胃切除术的增加率与相关并发症的增加有关.
- 及时识别和管理常见和罕见并发症是必不可少的.
研究的目的:
- 要突出一个独特的胃出口阻塞和经过袖子胃切除术的急性胰腺炎病例.
- 强调在初始成像无法得出结论时考虑不太常见的诊断的重要性.
- 为特定的术后并发症提出诊断和管理策略.
主要方法:
- 一个独特的临床场景的案例报告介绍.
- 对术后并发症的诊断方式的审查.
- 讨论胃出道阻塞的管理选择.
主要成果:
- 详细介绍了一个胃出口阻塞的病例,最初在成像中错过了,以及在袖子胃切除术后的急性胰腺炎.
- 经手术后持续的恶心,吐和腹痛,尽管CT扫描结果呈阴性,但表明需要进一步调查.
- 内镜检查和血清脂酶水平在诊断出现的并发症方面是至关重要的.
结论:
- 建议在袖子胃切除术后出现持续的术后症状的患者进行内镜和血清脂酶检测,即使CT检测结果正常.
- 胃出口阻塞的管理可能涉及保守措施,内镜扩张或手术干预,如胃旁路术.
- 警不寻常的并发症在减肥手术患者的术后护理中至关重要.
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