Abstract:
Laparoscopic adjustable gastric banding (LAGB) is commonly used in the treatment of morbid obesity. However, with clinical application and long-term follow-up, the shortcomings of this procedure were also exposed, bringing about surgery-related complications include dysphagia, intragastric band migration, slippage, and gastric band erosion. Lower esophageal and gastric fistula is a rare but dangerous complication after LAGB. We describe a case of esophagogastric fistula occurring twelve years after a laparoscopic band procedure and its successful management in a multidisciplinary and staged manner, followed by a short review of the literature.
摘要:
腹腔镜可调节胃束带术(LAGB)通常用于治疗病态肥胖。然而,临床应用和长期随访,这个程序的缺点也暴露出来了,导致手术相关的并发症包括吞咽困难,胃内束带迁移,打滑,和胃束带侵蚀。下食管和胃瘘是LAGB术后罕见但危险的并发症。我们描述了在腹腔镜束带手术12年后发生的食管胃瘘的病例,并以多学科和分阶段的方式成功治疗。接下来是对文献的简短回顾。