不规范胃旁路术后修正手术:附1例报告  

Revisional surgery for nonstandard gastric bypass:a case report

作　　者：高羽[1] 柯志刚[1] 刘建国[2] 童卫东[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所胃结直肠外科,重庆400042 [2]贵阳市第四人民医院呼吸内科,贵州贵阳550000

出　　处：《南方医科大学学报》2017年第7期1001-1002,F0003,共3页Journal of Southern Medical University

摘　　要：减重手术是肥胖症伴或不伴2型糖尿病及其并发症最有效的治疗方法,近年随着国内糖尿病发生率不断增加,开展减重手术的医院及手术例数明显增多,但在手术规范化、手术质量控制及病人的术后管理等方面存在较多问题,导致术后减重、降糖失败或出现严重并发症,最终需要修正手术来扭转不利局面。近期我科翻修一例不规范胃旁路术病人,现就本例患者首次减重失败原因、国内减重手术现状及修正性减重手术进行分析,明确修正性减重手术在临床中的必要性和掌握其术式选择及指征的重要性。Bariatric surgery is the most effective treatment for obesity with or without type 2 diabetes mellitus and its complications. With the growing incidence of type 2 diabetes mellitus, the number of hospitals performing bariatric surgery and surgical cases increase substantially. The problems in operation standardization, quality control of operation and postoperative management of the patients cause the failure in weight loss, hypoglycemia and severe complications, and revisional surgery is often required to correct the condition. We report a case of laparoscopic revisional surgery following nonstandard gastric bypass, and the reasons for failure of weight loss in first bariatric surgery, the current situation of bariatric surgery and revisional metabolic surgery were analyzed. This case demonstrates the clinical necessity of revisonal bariatric surgery and the importance of selection of the surgical approaches and indications.

关 键 词：减重手术 2型糖尿病 肥胖症 胃旁路术 胃旁路修正术 

分 类 号：R587.1[医药卫生—内分泌] R589.2[医药卫生—内科学] R656.6[医药卫生—临床医学]