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在Roux-en-Y胃绕道术后的内:一个具有挑战性的诊断线索
Cecil G Wood1, Jeanne M Horowitz1, Linda C Kelahan1
1From the Departments of Radiology (C.G.W., J.M.H., L.C.K., P.N., F.H.M.) and Surgery (E.N.T.), Northwestern University, 676 N St Clair Ave, Ste 800, Chicago, IL 60611; and Department of Radiology, John H. Stroger Jr. Hospital of Cook County, Chicago Ill (C.F.).
概括
在Roux-en-Y胃绕道术 (RYGB) 后的内可以导致严重的并发症,如肠道阻塞. 放射科医生必须仔细评估这些的CT扫描,特别是在手术后患有腹痛的患者中.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 手术解剖学手术解剖学
背景情况:
- 鲁克斯-en-Y胃绕道 (RYGB) 是一种流行的肥胖减肥手术.
- 内部由RYGB期间产生的中腔缺陷引起,造成小肠阻塞,缺血和的风险.
- 由于潜在的严重并发症,早期检测至关重要.
研究的目的:
- 突出放射科医生评估RYGB后内部的重要性.
- 为了回顾RYGB之后的解剖学变化,这些变化会导致内部.
- 讨论CT检测结果表明内部.
主要方法:
- 在RYGB.之后对术后解剖学的审查.
- 对内部发生率和风险因素的分析.
- 讨论与内相关的CT成像特征.
主要成果:
- 内部是RYGB的重要并发症,经常出现腹痛.
- 在RYGB之后,特定的中腔缺陷会增加的风险.
- CT标志可以可靠地检测内部,尽管具有挑战性.
结论:
- 放射科医生在腹部CT上RYGB后识别内方面发挥着关键作用.
- 了解RYGB解剖学是识别的关键.
- 及时诊断内是防止严重后果至关重要的.
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