PDF(Pubmed)
Abstract：
BACKGROUND: Laparoscopic Roux-en-Y gastric diversion is one of the most widely used surgical procedures for weight reduction and metabolic surgery, which is a hybrid approach to restrict intake and reduce absorption. Despite the successful completion of laparoscopic Roux-en-Y gastric diversion, 10% to 20% of patients still experience regained body mass or other complications.
METHODS: The patient had regained weight after all the RYGB surgeries, and after diet and exercise control, the results were not good, so she came to our department for treatment.
METHODS: Dilatation of the gastric pouch was observed on iodinated water imaging of the upper gastrointestinal tract and on abdominal CT.
METHODS: We report 2 patients with dilated gastric bursa after RYGB, both female, who underwent gastric diversion revision.
RESULTS: Both patients in this case underwent laparoscopic gastric diversion correction to improve weight rebound. Their quality of life improved significantly after treatment. There were no grade 3/4 treatment-related adverse events during the treatment period.
CONCLUSIONS: The above cases suggest that patients who regain weight after RYGB should routinely undergo preoperative upper gastrointestinal endoscopy and upper gastrointestinal iodine hydrography in order to observe the muscle tone of the patient\'s gastric bursa and the degree of dilatation of the gastrointestinal anastomosis and consider whether to correct the dilated gastric bursa intraoperatively before converting to LSG.
METHODS: The patient had regained weight after all the RYGB surgeries, and after diet and exercise control, the results were not good, so she came to our department for treatment.
METHODS: Dilatation of the gastric pouch was observed on iodinated water imaging of the upper gastrointestinal tract and on abdominal CT.
METHODS: We report 2 patients with dilated gastric bursa after RYGB, both female, who underwent gastric diversion revision.
RESULTS: Both patients in this case underwent laparoscopic gastric diversion correction to improve weight rebound. Their quality of life improved significantly after treatment. There were no grade 3/4 treatment-related adverse events during the treatment period.
CONCLUSIONS: The above cases suggest that patients who regain weight after RYGB should routinely undergo preoperative upper gastrointestinal endoscopy and upper gastrointestinal iodine hydrography in order to observe the muscle tone of the patient\'s gastric bursa and the degree of dilatation of the gastrointestinal anastomosis and consider whether to correct the dilated gastric bursa intraoperatively before converting to LSG.
摘要：
背景：腹腔镜Roux-en-Y胃改道是用于减轻体重和代谢手术的最广泛使用的外科手术之一，这是一种限制摄入量和减少吸收的混合方法。尽管成功完成了腹腔镜Roux-en-Y胃改道术，10％至20％的患者仍经历体重恢复或其他并发症。
方法：患者在所有RYGB手术后体重恢复，在饮食和运动控制之后，结果不好，所以她来我们部门治疗.
方法：在上消化道碘水成像和腹部CT上观察到胃袋的扩张。
方法：我们报告2例RYGB术后胃囊扩张患者，都是女性,谁接受了胃改道翻修。
结果：2例患者均接受腹腔镜胃改道矫正以改善体重反弹。治疗后患者生活质量明显改善。在治疗期间没有3/4级治疗相关的不良事件。
结论：以上病例提示RYGB术后体重恢复的患者应常规进行术前上消化道内镜和上消化道碘造影，以观察患者胃囊的肌张力和胃肠吻合术的扩张程度，并考虑是否在术中矫正扩张的胃囊，然后再转为LSG。
方法：患者在所有RYGB手术后体重恢复，在饮食和运动控制之后，结果不好，所以她来我们部门治疗.
方法：在上消化道碘水成像和腹部CT上观察到胃袋的扩张。
方法：我们报告2例RYGB术后胃囊扩张患者，都是女性,谁接受了胃改道翻修。
结果：2例患者均接受腹腔镜胃改道矫正以改善体重反弹。治疗后患者生活质量明显改善。在治疗期间没有3/4级治疗相关的不良事件。
结论：以上病例提示RYGB术后体重恢复的患者应常规进行术前上消化道内镜和上消化道碘造影，以观察患者胃囊的肌张力和胃肠吻合术的扩张程度，并考虑是否在术中矫正扩张的胃囊，然后再转为LSG。
