Jamieson AC
Department of General Surgery, Box Hill Hospital, Box Hill, Victoria, 3128, Australia.
Obes Surg. 1993 Aug;3(3):297-301. doi: 10.1381/096089293765559359.
I have performed a modified Long 'highest gastric reduction' vertical gastroplasty (LVG) for over 10 years, and the advantages include simplicity in principle, speed of performance, ease of revision, ease of subsequent endoscopic examination, minimal mortality and low morbidity. The biggest advantage is the lack of long-term nutritional disturbance and the need for lifelong surveillance which characterizes malabsorptive procedures. The cost of surgery is relatively low with only one application of staples, a short hospital stay and an infrequent need for rehospitalization or investigation. A further bonus is that LVG is a good antireflux operation in contrast to gastric banding. The individual weight loss achieved depends greatly on the motivation and use of the operation by the patient, and this is directly related to the quality and content of counseling given to the patient before and after the surgery. Given good motivation, a good operation technique and good education, patients can achieve weight loss comparable to that from more invasive procedures.
我实施改良版Long氏“最高位胃减容”垂直胃成形术（LVG）已超过10年，其优点包括原理简单、操作速度快、易于修正、便于后续内镜检查、死亡率极低且发病率低。最大的优势在于不存在长期营养紊乱以及无需像吸收不良手术那样进行终身监测。手术成本相对较低，只需使用一次吻合器，住院时间短，再次住院或检查的需求也很少。另外一个好处是，与胃束带术不同，LVG是一种很好的抗反流手术。患者个体实现的体重减轻在很大程度上取决于其动机以及对该手术的运用情况，而这又直接关系到手术前后给予患者咨询的质量和内容。若有良好的动机、精湛的手术技术以及良好的教育指导，患者能够实现与更具侵入性的手术相当的体重减轻效果。
