Pouch dilatation after gastric banding causing gastric necrosis

被引：13
|
作者：
Kirchmayr, W [1 ]
Ammann, K [1 ]
Aigner, F [1 ]
Weiss, HG [1 ]
Nehoda, H [1 ]
机构：
[1] Univ Innsbruck Hosp, Dept Gen Surg, A-6020 Innsbruck, Austria
来源：
OBESITY SURGERY | 2001年 / 11卷 / 06期
关键词：
morbid obesity; bariatric surgery; pouch dilatation; adjustable gastric banding; complication;
D O I：
10.1381/09608920160558768
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Background: Early or late pouch dilatations account for a moderate complication rate after restrictive bariatric operations. Various strategies were developed to prevent or treat pouch dilatations. Methods: A case of necrosis of gastric wall in a concentric dilated pouch following laparoscopic adjustable gastric banding is reported as a severe complication of a conservative treatment attempt. Results: Emergency laparotomy resulted in band removal, partial gastric resection and prolonged hospital stay. Conclusion: Conservative strategies in the treatment of pouch dilatations bear the risk of complications, with both failure of the bariatric procedure and critical clinical course. Indication for early operative reintervention is recommended.
引用
收藏
页码：770 / 772
页数：3
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