胃空肠吻合术Roux-en-Y胃旁路术后体重复发经口改良后发生的腺癌。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-07-18 eCollection Date: 2025-07-01 DOI:10.14309/crj.0000000000001775

Yara Salameh, Hadi K Abou Zeid, Khushboo S Gala, Roopa Kumari, Andrew C Storm

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引用次数: 0

摘要

体重复发是Roux-en-Y胃旁路术后的晚期并发症。经口出口复位术（TORe）作为内镜下修复手术的替代方案，用于治疗胃空肠吻合术扩张和功能不全引起的体重复发。在临床试验和其他高质量的医学文献中，该程序已被证明是安全有效的。几个病例的胃袋鳞状上皮化生反复撕手术后使用氩等离子凝固已被报道。我们报告一例晚发性胃空肠吻合腺癌后的TORe程序进行氩等离子凝血和缝合。

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Gastrojejunal Anastomosis Adenocarcinoma Occurring After Trans-Oral Revision for Weight Recurrence After Roux-en-Y Gastric Bypass.

Weight recurrence is a late complication after Roux-en-Y gastric bypass. The transoral outlet reduction (TORe) emerged as an endoscopic alternative to revisional surgery for weight recurrence due to a dilated and incompetent gastrojejunal anastomosis. The procedure has been documented as safe and effective in clinical trials and other high-quality medical literature. Several cases of squamous metaplasia of the gastric pouch after repeated TORe procedures using argon plasma coagulation have been reported. We present a case of a late-onset adenocarcinoma of the gastrojejunal anastomosis after a TORe procedure performed using argon plasma coagulation and suturing.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.