胃束带侵蚀致复杂食道及胃瘘的处理——一例病例报告及文献回顾  

Management of esophagogastric fistula caused by adjustable gastric band erosion: a case report and literature review

作　　者：赵稳 刘浩[1] 武现生[1] 金露佳 陈鹏[1] 李丁昌 高文星 刘先强 董光龙[1] Zhao Wen;Liu Hao;Wu Xiansheng;Jin Lujia;Chen Peng;Li Dingchang;Gao Wenxing;Liu Xiangqiang;Dong Guanglong(Department of General Surgery,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心普通外科医学部,北京100853

出　　处：《中华肥胖与代谢病电子杂志》2023年第1期62-67,共6页Chinese Journal Of Obesity and Metabolic Diseases：Electronic Edition

摘　　要：食道下端及胃瘘是腹腔镜可调节胃束带术(LAGB)术后最严重的并发症之一。因病情复杂,处理不当可致胸腹腔感染、败血症等严重后果。对于这类严重的束带术后并发症,目前国内外未见报道。本文报道多学科、分阶段成功治疗一例LAGB术后12年胃束带侵蚀致复杂食道–胃瘘的病例,旨在为束带术后的这一严重并发症的治疗提供一定的借鉴。Lower esophageal and gastric fistula is a rare but dangerous complication after laparoscopic adjustable gastric band (LAGB). If the complication was handled clumsily, it could lead to serious consequences such as thoracoabdominal infection and sepsis.Owing to its low prevalence and complexity, to our knowledge, cases of esophagogastric fistula caused by gastric band erosion after LAGB have not been reported. We present our experience with a case of esophagogastric fistula occurring twelve years after a laparoscopic band procedure, and its successful management in a multidisciplinary and staged manner.

关 键 词：肥胖症 并发症 腹腔镜可调节胃束带术 胃束带 胃瘘 

分 类 号：R65[医药卫生—外科学]