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中华胃食管反流病电子杂志 ›› 2024, Vol. 11 ›› Issue (01) : 44 -46. doi: 10.3877/cma.j.issn.2095-8765.2024.01.010

病例报道

腹腔镜袖状胃切除术后袖胃移位一例
储宇霄1, 花荣1,()   
  1. 1. 200040 上海,复旦大学附属华山医院肥胖疝外科
  • 收稿日期:2023-11-20 出版日期:2024-02-15
  • 通信作者: 花荣

Sleeve stomach displacement after laparoscopic sleeve gastrectomy: one case report

Yuxiao Chu, Rong Hua()   

  • Received:2023-11-20 Published:2024-02-15
  • Corresponding author: Rong Hua
引用本文:

储宇霄, 花荣. 腹腔镜袖状胃切除术后袖胃移位一例[J]. 中华胃食管反流病电子杂志, 2024, 11(01): 44-46.

Yuxiao Chu, Rong Hua. Sleeve stomach displacement after laparoscopic sleeve gastrectomy: one case report[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2024, 11(01): 44-46.

随着人民生活水平的提高,超重和肥胖已经成为一个日益严重的全球性公共卫生问题。据文献报道,我国超重和肥胖人群已超全国人口的50%。而减重手术已被证明是体质量减轻和改善代谢综合征的最有效手段。常见的减重手术方式中的腹腔镜下胃袖状切除术(laparoscopic sleeve gastrectomy, LSG),因其减重效果佳,安全性高及操作简单,已经占到了国内全部手术的87.8%。但LSG也存在一定的并发症,如切缘出血、胃漏、狭窄、胃食管反流病(gastro-esophagealrefluxdisease,GERD)、复胖等;术后新发食管裂孔疝,作为一个被低估的问题,随着LSG的大量开展,也应该引起减重外科和疝外科医师的更多关注。在此,本文报道1例在LSG术后食管裂孔疝导致袖状胃上移至胸腔,从而导致术后长时间难以缓解的GERD的病例,旨在为LSG术后袖胃移位的诊断、治疗以及预防提供参考依据。

图1 患者术前胃镜检查报告
图2 术前上消化道造影及腹部CT检查
图3 手术过程示意图 A、B:部分胃疝入胸腔;C、D:进行食管裂孔疝修补;E、F:多点固定胃腔
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