Heintz A, Junginger T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.
Zentralbl Chir. 2000;125(3):288-92.
Indication for operation in morbid obesity is a body mass index greater than 40 kg/m2. Various operative procedures such as vertical banded gastroplasty and gastric bypass are used for therapy. Since 1994 the laparoscopic performed gastric banding is an alternative to conventional techniques. The mortality rate of this technique is below 1%, summarizing data from the literature of 905 patients the complication rate ranged to 24%. These results are comparable to conventional operations. Regarding the weight loss the results are comparable to the vertical banded gastroplasty. 80% of the patients loss 60% of their excess weight at 12 months. The rate of conversion to open procedure is low and ranges to 2.4%. Especially in obese patients the laparoscopic approach offers the well known advantages of endoscopic procedures. Open questions are the long-term effects and complications of laparoscopic gastric banding.
病态肥胖的手术指征是体重指数大于40kg/m²。各种手术方法如垂直束带胃成形术和胃旁路术用于治疗。自1994年以来，腹腔镜胃束带术是传统技术的一种替代方法。该技术的死亡率低于1%，汇总905例患者的文献数据，并发症发生率为24%。这些结果与传统手术相当。在体重减轻方面，结果与垂直束带胃成形术相当。80%的患者在12个月时减轻了60%的超重体重。转为开放手术的比例较低，为2.4%。特别是在肥胖患者中，腹腔镜手术方法具有内镜手术众所周知的优点。腹腔镜胃束带术的长期影响和并发症仍是未解决的问题。
