Biliopancreatic limb obstruction after one-anastomosis gastric bypass; a very rare and fatal event: A case report and literature review

IF 0.9 Q4 ORTHOPEDICS Asian Journal of Endoscopic Surgery Pub Date : 2024-10-30 DOI:10.1111/ases.13402
Rahmatullah Athar, Alireza Khalaj, Parvin Shapori
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Abstract

The biliopancreatic limb (BPL) obstruction occurrence after one-anastomosis gastric bypass (OAGB) has not been well described in the literature. A 65-year-old female with a history of OAGB surgery presented with acute weight loss and abdominal pain. Imaging studies revealed a bezoar in the duodenal diverticulum obstructing the small bowel. An urgent laparoscopic intervention was performed to remove the bezoar and alleviate the obstruction. The patient experienced postoperative complications, including gastrostomy drainage and subsequent biliobezoar migration. additional surgeries were required to address these complications. This is a rare condition, and it is usually seen in patients with predisposing factors like DM, previous surgery, and duodenal diverticulum. CT scan study is the useful diagnostic modality, and laparoscopic intervention is the choice treatment; this case highlights the importance of recognizing and managing bezoars as a potential complication following bariatric surgery.

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单吻合胃旁路术后胆胰管肢体梗阻;非常罕见的致命事件:病例报告和文献综述。
文献中对单吻合胃旁路术(OAGB)后发生的胆胰管梗阻(BPL)描述不多。一名 65 岁的女性患者曾接受过 OAGB 手术,术后出现急性体重减轻和腹痛。影像学检查发现十二指肠憩室内有一肿物阻塞小肠。医生紧急进行了腹腔镜手术,切除了囊泡并缓解了梗阻。患者术后出现了并发症,包括胃造口术引流和随后的胆囊造口移位。这种情况比较罕见,通常见于有糖尿病、既往手术和十二指肠憩室等易感因素的患者。CT 扫描研究是有用的诊断方式,腹腔镜介入治疗是首选的治疗方法;本病例强调了认识和处理减肥手术后可能出现的并发症--虾尾石的重要性。
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CiteScore
2.00
自引率
10.00%
发文量
129
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