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首页> 外文期刊>Surgical Endoscopy >Adjustable gastric banding in a patient with sarcoidosis.
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Adjustable gastric banding in a patient with sarcoidosis.

机译：结节病患者的可调胃束带。

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The use of silicone in patients with immune-compromising diseases is controversial because of fears that there may be inflammatory reactions against the material. We report the case of a patient who suffered from cutaneous sarcoidosis with bihilar lymphadenopathy and obesity (110 kg; BMI, 38 kg/m2) that was exaggerated by cortisone therapy. The patient underwent adjustable gastric banding because of aggravating comorbid hypertension and hyperlipidemia. Six months postoperatively, she had achieved an excess weight loss of 33%. During this period, she had a relapse of scar sarcoidosis of the right elbow and bilateral hilar lyphadenopathy. Although she was treated with a double dose of cortisone (8 mg daily), the scars from the laparoscopy as well as those in the gastric region adjacent to the band remained unaffected. We therefore believe that preexisting immune-compromising diseases are not an absolute contraindication against gastric banding, particularly since our patient experienced a notable improvement in her quality of life.
机译：由于担心可能会对这种物质产生炎症反应，因此在免疫力低下的疾病患者中使用有机硅存在争议。我们报告了一例患有可可松治疗夸大的伴有双门静脉淋巴结肿大和肥胖的皮肤结节病（110千克; BMI，38千克/平方米）的患者。由于加重合并症高血压和高脂血症，患者接受了可调节的胃束带。术后六个月，她的体重减轻了33％。在此期间，她的右肘疤痕结节病复发，双侧肺门淋巴结肿大。尽管她接受了两次可的松的剂量（每天8 mg）治疗，但腹腔镜检查以及疤痕附近胃区域的疤痕均未受影响。因此，我们认为，既往存在的免疫功能低下的疾病并不是胃束带的绝对禁忌症，尤其是因为我们的患者的生活质量得到了显着改善。

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