PDF(Pubmed)
Abstract：
BACKGROUND: Gallstone ileus following one anastomosis gastric bypass (OAGB) is an exceptionally rare complication. The presented case report aims to highlight the unique occurrence of this condition and its surgical management. Understanding the clinical presentation, diagnostic challenges and successful surgical intervention in such cases is crucial for healthcare professionals involved in bariatric surgery.
METHODS: We present a case report of gallstone ileus following OAGB and discuss its diagnosis and surgical management. A 66-year-old female with a history of OAGB presented to the emergency room with symptoms of small bowel obstruction. Computed tomography scan revealed a gallstone impacted in the distal ileum, causing obstruction. The patient underwent a laparoscopically assisted enterolithotomy, during which the gallstone was extracted and the enterotomy was closed. The patient had an uneventful recovery and was discharged on postoperative day four.
CONCLUSIONS: Gallstone ileus should be considered as a possible complication after OAGB, and prompt surgical intervention is usually required for its management. This case report contributes to the limited existing literature, providing insights into the management of this uncommon complication.
METHODS: We present a case report of gallstone ileus following OAGB and discuss its diagnosis and surgical management. A 66-year-old female with a history of OAGB presented to the emergency room with symptoms of small bowel obstruction. Computed tomography scan revealed a gallstone impacted in the distal ileum, causing obstruction. The patient underwent a laparoscopically assisted enterolithotomy, during which the gallstone was extracted and the enterotomy was closed. The patient had an uneventful recovery and was discharged on postoperative day four.
CONCLUSIONS: Gallstone ileus should be considered as a possible complication after OAGB, and prompt surgical intervention is usually required for its management. This case report contributes to the limited existing literature, providing insights into the management of this uncommon complication.
摘要：
背景：一次吻合胃旁路术（OAGB）后的胆石性肠梗阻是一种极为罕见的并发症。所提供的病例报告旨在强调这种情况的独特发生及其手术管理。了解临床表现，在这种情况下，诊断挑战和成功的手术干预对于参与减肥手术的医疗保健专业人员至关重要。
方法：我们介绍一例OAGB后胆石性肠梗阻的病例报告，并讨论其诊断和手术治疗。一名66岁的女性，有OAGB病史，出现小肠梗阻症状。计算机断层扫描显示回肠远端有胆结石，造成阻塞。患者接受了腹腔镜辅助的肠切开取石术，在此期间，胆结石被拔除，肠切开术被关闭。患者恢复顺利，并在术后第四天出院。
结论：胆石性肠梗阻应被视为OAGB后可能的并发症，和及时的手术干预通常需要其管理。本病例报告有助于有限的现有文献，提供对这种罕见并发症的管理的见解。
方法：我们介绍一例OAGB后胆石性肠梗阻的病例报告，并讨论其诊断和手术治疗。一名66岁的女性，有OAGB病史，出现小肠梗阻症状。计算机断层扫描显示回肠远端有胆结石，造成阻塞。患者接受了腹腔镜辅助的肠切开取石术，在此期间，胆结石被拔除，肠切开术被关闭。患者恢复顺利，并在术后第四天出院。
结论：胆石性肠梗阻应被视为OAGB后可能的并发症，和及时的手术干预通常需要其管理。本病例报告有助于有限的现有文献，提供对这种罕见并发症的管理的见解。
