Haciyanli M, Erkan N, Bora S, Gulay H
Dokuz Eylul University Hospital, Department of General Surgery, 35340 Inciralti-Izmir, Turkey.
Obes Surg. 2001 Aug;11(4):482-6. doi: 10.1381/096089201321209387.
Obesity is increasing in Turkey. The first experience with vertical banded gastroplasty (VBG) with regular intermediate-term follow-up in the Aegean Region of Turkey is presented.
From November 1993 to August 1999, 40 morbidity obese patients underwent VBG. The patients were evaluated on the basis of excess weight loss (EWL) and satisfaction with the operation.
Regular follow-up was obtained in 38 patients (95%), with mean follow-up 27.2 months (14-85). Average preoperative body weight (BW) was 141.4 kg (93-238) and body mass index (BMI) was 52.3 kg/m2 (41-77.8). Average EWL was 64.1% (21.2-92.3). Average postoperative BW and BMI were 93.3 kg (70-145) and 34.4 kg/m2 (25.1-53) respectively. 35 of 38 patients (92%) lost more than 25% of EW and 28 of 38 (73.6%) lost more than 50% of EW. After weight loss, hypertension disappeared or improved in 86% of patients and diabetes resolved in 75%. Sleep apnea disappeared in 100% of patients. The early and late complication rates were 7.9% and 15.8% respectively. 33 of 38 patients (87%) were satisfied with the operation.
VBG was safe and effective, resulted in acceptable weight loss, and the vast majority of patients were satisfied.
土耳其的肥胖率正在上升。本文介绍了在土耳其爱琴海地区首次进行的垂直束带胃成形术（VBG）及定期中期随访的经验。
1993年11月至1999年8月，40例病态肥胖患者接受了VBG手术。根据体重减轻情况（EWL）和对手术的满意度对患者进行评估。
38例患者（95%）获得了定期随访，平均随访时间为27.2个月（14 - 85个月）。术前平均体重（BW）为141.4千克（93 - 238千克），体重指数（BMI）为52.3千克/平方米（41 - 77.8千克/平方米）。平均体重减轻率（EWL）为64.1%（21.2% - 92.3%）。术后平均体重和BMI分别为93.3千克（70 - 145千克）和34.4千克/平方米（25.1 - 53千克/平方米）。38例患者中有35例（92%）体重减轻超过超重部分的25%，38例中有28例（73.6%）体重减轻超过超重部分的50%。体重减轻后，86%的患者高血压消失或改善，75%的患者糖尿病得到缓解。100%的患者睡眠呼吸暂停消失。早期和晚期并发症发生率分别为7.9%和15.8%。38例患者中有33例（87%）对手术满意。
VBG安全有效，能实现可接受的体重减轻，绝大多数患者对手术满意。
