急性内疝病例研究:Roux-en-Y胃旁路术并发症的复杂诊断难题。

IF 1.2 4区 医学
Angela C Irizarry
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引用次数: 0

摘要

摘要:肥胖症仍然是一个全球性的健康挑战,它与多种并发症有关,如阻塞性睡眠呼吸暂停、高血压、高脂血症和糖尿病。由于减肥手术是一种高效的外科工具,可实现显著的永久性减肥,因此减肥手术的发病率正在稳步上升。然而,与所有减肥手术一样,一些并发症可能在初次手术后数月至数年才会出现。特别是,Roux-en-Y 胃旁路术(RNYGB)后发生的解剖学变化使得内疝的风险很高。这种特殊的并发症虽然罕见,但如果不能及时发现和治疗,则会导致死亡。本临床病例研究旨在向读者概述在既往接受过腹腔镜 RNYGB 手术的情况下如何诊断和识别内疝。由于全球接受减肥手术的患者数量急剧增加,医疗服务提供者必须充分了解这种晚期并发症的隐匿表现,并做好准备迅速采取行动,诊断和治疗这些急腹症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A case study of an acute internal hernia: The complex diagnostic challenges of Roux-en-Y gastric bypass complications.

Abstract: Obesity remains a global health challenge linked to several comorbidities, such as obstructive sleep apnea, hypertension, hyperlipidemia, and diabetes. The prevalence of bariatric surgeries being performed is steadily increasing because it is a highly effective surgical tool used to achieve significant permanent weight loss. However, with all weight loss surgeries, several complications may not present for months to years after the initial procedure. In particular, the anatomical changes that occur after the Roux-en-Y gastric bypass (RNYGB) make the risk of internal hernias high. This particular complication is rare but lethal if unrecognized and not treated promptly. This clinical case study aims to provide readers with an overview of diagnosing and recognizing an internal hernia in the setting of previous laparoscopic RNYGB surgical history. Because of the sheer increase in the volume of patients undergoing bariatric surgery worldwide, health care providers must be well educated on the insidious presentations of this late complication and be prepared to act quickly to diagnose and treat these acute abdomen scenarios.

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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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