可调节胃束带治疗病态肥胖：初步报告。
Treatment of morbid obesity with adjustable gastric band: preliminary report.
作者信息
Silva A S, Cardoso H, Nogueira C, Santos J, Vilaça H
机构信息
Department of Surgery, Hospital Geral Santo António, Porto, Portugal.
出版信息
Obes Surg. 1999 Apr;9(2):194-7. doi: 10.1381/096089299765553494.
BACKGROUND
The goal of surgery for morbid obesity is to achieve a good and durable loss of weight and improve health. Previous studies have demonstrated a significant weight loss for the Swedish adjustable gastric band (SAGB).
PATIENTS AND METHODS
Between November 1996 and April 1998, 18 morbidly obese patients underwent SAGB laparoscopically. Their mean age at surgery was 35 years. The mean preoperative weight was 128 kg (range 89-163), and the mean body mass index was 50.4+/-9. Comorbidity was present in 13 patients.
RESULTS
One gastric perforation occurred, and in one patient it was not possible to create the pneumoperitoneum. Regarding late morbidity, one intragastric migration and one slippage of the band occurred. There was no mortality.
CONCLUSION
The low morbidity, the good results with weight loss, and the improvement in comorbidity lead the authors to believe that Swedish adjustable gastric banding for the treatment of morbidly obese patients is a successful means of losing weight and improving general health.
背景
病态肥胖症手术的目标是实现良好且持久的体重减轻并改善健康状况。先前的研究已证明瑞典可调节胃束带术（SAGB）能显著减轻体重。
患者与方法
1996年11月至1998年4月期间，18例病态肥胖患者接受了腹腔镜下瑞典可调节胃束带术。他们手术时的平均年龄为35岁。术前平均体重为128千克（范围89 - 163千克），平均体重指数为50.4 ± 9。13例患者存在合并症。
结果
发生了1例胃穿孔，1例患者无法建立气腹。关于晚期并发症，发生了1例束带胃内移位和1例束带滑脱。无死亡病例。
结论
低并发症发生率、良好的体重减轻效果以及合并症的改善使作者们认为，瑞典可调节胃束带术治疗病态肥胖患者是一种成功的减肥及改善总体健康的方法。
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