由于包括局部感染在内的因素,脾脓肿是一种罕见的并发症,通常与袖状胃切除术(SG)相关。远处感染,肿瘤,缺血,和创伤,这带来了巨大的挑战。我们报告了四例SG后胃脾瘘和/或脾脓肿。患者数据,包括人口统计,合并症,诊断程序,治疗,和结果,被记录下来。SG的手术技术遵守既定的协议。四名患者的男女比例为2:2,平均年龄为39.8岁,术前平均BMI为38.9kg/m2。由于CT扫描发现脾脓肿引起的反复发热和寒战,所有患者均再次入院。平均入院时间为16.5周。治疗方法从禁食和抗生素到经皮引流和手术干预。脾脓肿诊断后的平均治疗时间为37.25周。管理胃脾瘘和/或脾脓肿是复杂的,强调及时诊断和适当治疗的重要性。这凸显了需要提高医疗保健专业人员的意识,以便在SG后迅速识别和管理这种罕见的并发症。
Splenic abscess is a rare complication often associated with sleeve gastrectomy (SG) due to factors including local infections, distant infections, tumors, ischemia, and trauma, which presents substantial challenges. We report four cases of gastrosplenic fistula and/or splenic abscess after SG. Patient data, including demographics, comorbidities, diagnostic procedures, treatments, and outcomes, were recorded. Surgical techniques for SG adhered to established protocols. Four patients had a male-to-female ratio of 2:2, with an average age of 39.8 years and an average preoperative BMI of 38.9 kg/m2. All patients were readmitted due to recurrent fever and chills caused by splenic abscesses detected on CT scans, with an average admission duration of 16.5 weeks. Treatments varied from fasting and antibiotics to percutaneous drainage and surgical interventions. The average treatment duration post-diagnosis of splenic abscess was 37.25 weeks. Managing gastrosplenic fistula and/or splenic abscess is complex, underscoring the significance of prompt diagnosis and proper treatment. This highlights the need for heightened awareness among healthcare professionals to promptly recognize and manage this rare complication after SG.