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由于Roux-En-Y胃绕道后的Hemobezoar导致小肠阻塞:一个病例报告
Mohammad Reza Abdolhosseini1,2, Seyed Ali Jazaeri1, Seyed Sattar Darabi1,2
1Minimally Invasive and Bariatric Surgery Department, Hazrat-e Fatemeh Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Asian journal of endoscopic surgery
|May 9, 2025
概括
由于hemobezoars,Roux-en-Y胃绕道 (RYGB) 很少会导致小肠阻塞 (SBO). 通过成像和腹腔镜手术早期诊断是患者康复的关键.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 手术并发症 手术并发症
背景情况:
- 鲁克斯-en-Y胃绕道 (RYGB) 是一种常见的减肥手术.
- 小肠阻塞 (SBO) 是一种已知的并发症,通常是由内部或粘接引起的.
- 在RYGB之后,血球形成是SBO的极为罕见的原因.
研究的目的:
- 报告两例急性SBO病例,这些病例是由于腹腔镜RYGB之后的hemobezoars引起的.
- 突出表现hemobezoar作为一个罕见但关键的差异诊断早期术后SBO.
主要方法:
- 两名患者的病例报告经历了急性SBO后拉巴洛斯科普RYGB.
- 使用CT成像来诊断小肠膨胀.
- 进行了诊断性腹腔镜检查以确认和手术干预.
主要成果:
- 两位患者在术后早期出现严重的恶心.
- CT扫描显示显著的小肠膨胀.
- laparoscopy 揭示了在 jejunojejunostomy 处阻塞的hemobezoars,需要疏散和解剖修复.
- 这两位患者在术后恢复良好.
结论:
- 血红斑是RYGB后SBO的罕见但可能的原因.
- 在患有不明原因的早期术后阻塞的患者中考虑使用hemobezoar.
- 及时的成像和腹腔镜干预对于尽量减少发病率至关重要.
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