怀孕31周的MiniMizer胃环移位是一种危及生命的并发症
Paulina Szymczak1, Magdalena Emilia Grzybowska2,3, Adam Grzeczka1,4
1Department of Gynecology, Obstetrics and Neonatology, Medical University of Gdansk, Gdańsk, Poland.
Obesity surgery
|October 4, 2024
概括
在怀孕之前放置的胃环在孕妇患者中引起了肠道阻塞和缺血. 早期干预,包括"en caul"剖腹产和戒指切除,确保了母亲和孩子的积极结果.
科学领域:
- 腹部外科 腹部外科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 胃肠病学 胃肠病学
背景情况:
- 肥胖症的减肥手术越来越常见.
- 减肥手术后的怀孕带来了独特的挑战.
- 胃带带术后的早期受孕可能会增加并发症风险.
研究的目的:
- 在怀孕期间报告一种罕见的胃环并发症.
- 为了强调减肥手术和怀孕之间的间隔的重要性.
- 审查关于减肥手术后怀孕的文献.
主要方法:
- 一个怀孕的患者的病例报告,患有严重肥胖症,有腹腔镜MiniMizer胃环病史.
- 诊断成像 (MRI) 和手术内发现.
- 手术干预包括"en caul"剖腹产和腹腔镜手术.
- 在手术内进行食管胃管腺镜和绿色氨酸 (ICG) 血管造影.
主要成果:
- 一个脱离的MiniMizer环导致肠道阻塞,中肠缺血和胃壁缺陷.
- 进行了成功的"en caul"剖腹产.
- 切除戒指和修复彼得森孔隙的术程取得了成功.
- 手术后的康复是没有事件的.
结论:
- 接受减肥手术的患者必须接受关于怀孕风险和最佳怀孕时间的咨询.
- 怀孕期间的胃结带并发症需要及时诊断和管理.
- 多学科护理对于管理这些复杂的病例至关重要.
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