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首页> 外文期刊>Gut and Liver >Endoscopic Treatment of Diverse Complications Caused by Laparoscopic Adjustable Gastric Banding: A Study in Eastern Asia
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Endoscopic Treatment of Diverse Complications Caused by Laparoscopic Adjustable Gastric Banding: A Study in Eastern Asia

机译：内窥镜治疗腹腔镜可调节胃束带引起的多种并发症：东亚地区的一项研究

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Background/Aims The use of laparoscopic adjustable gastric banding (LAGB) is increasing proportionally with the obesity epidemic. However, some postoperative complications have been highlighted as major problems associated with LAGB. There is no consensus concerning the endoscopic management of these adverse events. The aim of this study was to retrospectively review the feasibility and effectiveness of endoscopic treatment for LAGB complications. Methods We retrospectively evaluated 352 patients who underwent LAGB between 2011 and 2015. LAGB-associated complications developed in 26 patients (7.4%). This study involved six patients (1.7%) who received endoscopic treatment. Results Types of LAGB-induced complications in our series included intragastric migration (n=3), gastric leaks (n=2), and gastric fistulas (n=1). The endoscopic treatment of these complications was successful in four of the six patients. Endoscopic band removal was successful in two patients. All gastric leaks were successfully closed via an endoscopic procedure. In two cases (intragastric migration and gastric fistula), endoscopic treatment was not sufficient, and surgery was performed. Conclusions Endoscopic procedures afforded acceptable treatment of band migration and gastric leaks after LAGB. However, the results were poor in patients with gastric fistula.
机译：背景/目的腹腔镜可调胃束带（LAGB）的使用与肥胖病流行成比例地增加。但是，一些术后并发症已被强调为与LAGB相关的主要问题。关于这些不良事件的内镜治疗尚无共识。这项研究的目的是回顾性回顾内镜治疗LAGB并发症的可行性和有效性。方法我们回顾性分析了2011年至2015年间352例行LAGB的患者。其中26例患者（7.4％）发生了与LAGB相关的并发症。该研究涉及六名接受内镜治疗的患者（1.7％）。结果在我们的系列中，LAGB引起的并发症的类型包括胃内迁移（n = 3），胃漏（n = 2）和胃瘘（n = 1）。这些并发症的内窥镜治疗在六位患者中的四位成功。内窥镜带去除在两名患者中成功。通过内窥镜检查成功地关闭了所有胃漏。在两种情况下（胃内移行和胃瘘），内镜治疗不足，并进行了手术。结论内镜下手术可为LAGB术后乐队迁移和胃漏提供可接受的治疗。但是，胃瘘患者的结果较差。

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