Excellent weight result after Roux-en-Y gastric bypass in spite of gastro-gastric fistula

被引:18
作者
Gustavsson, S [1 ]
Sundbom, M [1 ]
机构
[1] Univ Uppsala Hosp, Dept Surg, S-75185 Uppsala, Sweden
关键词
morbid obesity; bariatric surgery; gastric bypass; gastric banding; gastro-gastric fistula; Roux-limb; leakage; stomal ulcer;
D O I
10.1381/096089203765887840
中图分类号
R61 [外科手术学];
学科分类号
摘要
A male patient (age 37 years, BMI 38 kg/m(2)) underwent a revisional gastric bypass after failed gastric banding. Unfortunately he developed a leak from the proximal pouch and subsequently a gastro-gastric fistula between the pouch and the main stomach. He recovered fully and could eat and drink without any restriction. Repeat examination with x-ray and endoscopy revealed that the fistula remained widely open. Remarkably, the patient lost weight to a BMI of 27 kg/m(2) (ie. lost 80% of his original excess body weight), thus challenging the widely held opinion that gastro-gastric fistulas inevitably lead to poor weight loss. In our patient the weight loss was stable for 2 years, when the fistula was closed surgically to avoid chronic proton pump inhibitor medication for stomal ulcer.
引用
收藏
页码:457 / 459
页数:3
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