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首页> 外文期刊>Journal of minimal access surgery >A delayed acute complication of bariatric surgery: Gastric remnant haemorrhagic ulcer after Roux-en-Y gastric bypass
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A delayed acute complication of bariatric surgery: Gastric remnant haemorrhagic ulcer after Roux-en-Y gastric bypass

机译:减肥手术的延迟性急性并发症:Roux-en-Y胃旁路手术后的胃残余出血性溃疡

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摘要

Acute gastric remnant bleeding is an exceptionally rare complication when it occurs long after bariatric surgery. We present the case of a patient with a bleeding ulcer of the excluded stomach (i.e., the remnant), occurring 7 years after Roux-en-Y gastric bypass (RYGB) for morbid obesity. A computed tomography scan managed to locate the active bleeding source in the gastric remnant. During emergency laparotomy, a bleeding ulcer of the fundic region of the excluded stomach was identified. Total resection of the remnant was performed, with good post-operative recovery. To the best of our knowledge, this is the first full report of a significantly delayed haemorrhagic ulcer of the gastric remnant, occurring years after RYGB.
机译:减肥手术后长时间发生的急性胃残余出血是非常罕见的并发症。我们介绍了例行病态肥胖的Roux-en-Y胃搭桥术(RYGB)术后7年发生的被排除胃部(即残余物)出血性溃疡的患者。计算机断层扫描可以找到胃残余物中的活动性出血源。在紧急剖腹手术中,发现了被排除胃的胃底出血性溃疡。完全切除残余物,术后恢复良好。据我们所知,这是RYGB发生数年后,胃残余物明显延迟出血性溃疡的首次完整报道。

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