肠道阻塞是由胃内气球的迁移引起的:一种罕见的病例,经过 laparoscopic 治疗
ٍSaeed Abdulrahman Alghamdi1, Yara Adel Alhomaidi1, Nora Nasser Alqaoud1
1Department of General Surgery, Security Forces Hospital - Riyadh, Ryiadh, Saudi Arabia.
The American journal of case reports
|November 24, 2025
概括
胃内气球 (IGB) 有助于减肥,但可以迁移,导致肠道阻塞. 腹腔镜检索是这种罕见并发症的安全有效治疗方法,确保完全康复.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科 腹部外科
- 最少侵入性的手术
背景情况:
- 内镜减肥疗法,如胃内气球 (IGB),为肥胖管理提供了不那么侵入性的选择.
- 虽然通常是安全的,但可能会发生罕见的并发症,如IGB迁移导致机械肠道阻塞.
研究的目的:
- 报告胃内气球迁移导致小肠阻塞的病例.
- 详细说明这种罕见并发症的诊断途径和成功的腹腔镜治疗方法.
主要方法:
- 用对比度增强的计算机断层扫描 (CT) 扫描用于诊断.
- 进行了腹腔镜检查并检索迁移的胃内气球.
主要成果:
- 一个32岁的女性在IGB插入后一个月出现了小肠阻塞症状.
- 电脑扫描证实了膨胀,迁移的IGB导致远端小肠阻塞.
- 腹腔镜检索成功,在术后第5天没有复杂的恢复和出院.
结论:
- 临床医生应该怀疑罕见的并发症,如IGB迁移在手术后出现胃肠道症状的患者.
- 腹腔镜检索是一种安全有效的方法,用于管理导致肠道阻塞的迁移性IGB.
- 需要进一步的研究,以制定IGB并发症的综合管理准则.
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