一个衰弱的腹痛病例:胃扭转后袖子胃切除术
Radwan Elmasri1, Bassel Hamam2, Sarah Jalloul3
1Internal Medicine, Balamand University, Beirut, LBN.
Cureus
|September 19, 2025
概括
胃扭转 (GT) 是一种罕见的疾病,往往是晚诊断的. 这一案例突出显示了一名患有症状的患者,在拉巴洛斯科普袖子胃切除术 (LSG) 后10年,成功治疗了带心脏衰竭 (ligamentum teres).
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 胃扭转 (GT) 是一种罕见的,可能严重的疾病,需要高度怀疑及时诊断.
- 拖延GT的诊断可能会导致患者显著的发病率.
- laparoscopic袖子胃切除术 (LSG) 是一种常见的减肥手术,而GT是一种罕见的并发症.
研究的目的:
- 报告一个独特的胃扭曲病例,在LSG后10年被诊断出来.
- 为了说明延迟胃扭曲的诊断途径.
- 提出一个成功的手术管理策略,慢性胃扭转后LSG.
主要方法:
- 诊断工作包括上部胃肠道对比研究,内镜和计算机断层扫描 (CT).
- 患者经历了手术干预,使用带带心脏衰竭.
- 讨论的管理选择包括医疗疗,内镜支架和根据严重程度的手术.
主要成果:
- 在本案中,胃扭转是在LSG后10年被诊断出来的.
- 带性心脏衰竭导致症状完全消失.
- 诊断模式有效地确定了胃扭曲和相关的解剖学.
结论:
- 胃扭转可以在LSG多年后出现,需要高度的怀疑指数.
- 带性心脏衰竭是一种可行的手术选择,用于管理LSG后的延迟胃扭转.
- 多模式诊断成像对于准确的GT诊断和手术规划至关重要.
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