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Updated: Feb 4, 2026

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拉皮镜Roux-en-Y胃绕道后的晚期内内孔穿孔:一个系统的叙述审查
Oday Al-Asadi1, Karim Ataya2, Almoutuz Aljaafreh3
1General Surgery, Homerton University Hospital, London, GBR.
Cureus
|February 2, 2026
概括
在腹腔镜Roux-en-Y胃绕道术 (LRYGB) 后的晚期节节 (JJ) 解剖孔是罕见但严重的. 早期诊断和手术干预对于患有急性腹部腹部术后手术的患者的良好结果至关重要.
科学领域:
- 腹部外科 腹部外科
- 胃肠道手术 胃肠道手术
- 手术并发症 手术并发症
背景情况:
- 晚期节节 (JJ) 解孔是腹腔镜Roux-en-Y胃绕道术 (LRYGB) 后的罕见但危及生命的并发症.
- 非特异性的表现和各种原因可能会延迟诊断并增加患者的发病率.
研究的目的:
- 系统地审查和综合已发表的关于LRYGB后晚期JJ穿孔的文献.
- 分析这种并发症的患者特征,临床表现,时间,原因和结果.
主要方法:
- 在PubMed,CINAHL Plus,Embase和EBSCO的综合文献搜索将持续到2025年10月.
- 包括病例报告和描述晚期JJ穿孔的系列在LRYGB后的成年人中.
- 系统性审查和提取数据的叙事合成;元分析是不可行的.
主要成果:
- 从八项研究中确定了12例病例,主要是中年女性,在LRYGB之后的几个月到几年.
- 患者经历了严重的,急性腹痛与可变的放射性发现.
- 建议的原因包括边缘,缺血,感染,压力,植物和瘤植入.
结论:
- 晚期JJ穿孔,虽然在LRYGB之后很少见,但必须考虑在腹部急性表现的腹部外科手术后.
- 早期的截面成像,诊断性腹腔镜和及时的手术干预对于有利的结果至关重要.
- 需要标准化报告和登记,以更好地定义发病率,风险因素和管理策略.
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