Husemann B J
Surgical Clinic of Dominikus-Krankenhaus, Düsseldorf, Germany.
Obes Surg. 1999 Jun;9(3):244-9. doi: 10.1381/096089299765553106.
Staple-line disruption is a common complication after vertical banded gastroplasty (VBG).
Of 655 patients who underwent VBG, a hole across the partition developed in 46 (7.02%).
The original excellent weight loss from a BMI of 49.2 +/- 6.9 kg/m2 to 31.9 +/- 6.1 kg/m2 stopped with staple-line dehiscence, and all 46 patients regained weight, even to their original weight. After operative revision by restapling (n = 24/46) or implantation of an adjustable band (n = 10/46), patients reduced their body weight once more (to BMI 31.2 +/- 5.9 or 33.8 +/- 5.8).
Obese patients need the food-intake reducing operations maintained lifelong; the real cause of obesity is not curable until now, and only the main symptom, "overweight," can be improved by therapy.
吻合口漏是垂直束带胃成形术（VBG）后常见的并发症。
在655例行VBG的患者中，46例（7.02%）出现了穿过分隔的孔洞。
随着吻合口裂开，最初从体重指数（BMI）49.2±6.9kg/m²显著减重至31.9±6.1kg/m²的情况停止，所有46例患者体重均恢复，甚至恢复到原来的体重。在通过再次缝合（n = 24/46）或植入可调节束带（n = 10/46）进行手术修复后，患者体重再次减轻（至BMI 31.2±5.9或33.8±5.8）。
肥胖患者需要终身维持减少食物摄入的手术；肥胖的真正病因至今仍无法治愈，目前只能通过治疗改善“超重”这一主要症状。
