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植入式电刺激胃治疗人类病态肥胖:手术技术

Implantable electrical gastric stimulation to treat morbid obesity in the human: operative technique.

作者信息

Miller Karl A

机构信息

Krankenhaus Hallein, Buergermeisterstr. 34, A-5400 Hallein, Austria.

出版信息

Obes Surg. 2002 Apr;12 Suppl 1:17S-20S. doi: 10.1007/BF03342142.

DOI:10.1007/BF03342142
PMID:11969103
Abstract

BACKGROUND

The surgery to place the implantable gastric stimulator (IGS) is described.

METHODS

There are two implantable components to the IGS. One is the electrical stimulator itself, which is placed in the anterior abdominal wall. It is connected to a bipolar lead that is positioned in the muscle wall of the stomach. We describe the procedure that is necessary to safely place the components.

RESULTS

4 patients have been implanted using techniques that were developed and refined around the world. There were no operative deaths. All procedures were successfully completed laparoscopically. Two (2/4) connections required revision because the leads were not fully inserted into the header of the generator.

CONCLUSIONS

The operation to implant the IGS is safe and simple to perform. Attention to technical details is essential.

摘要

背景

描述了植入式胃刺激器(IGS)的手术过程。

方法

IGS有两个可植入部件。一个是电刺激器本身,置于前腹壁。它与一根双极导线相连,该导线位于胃肌壁内。我们描述了安全植入这些部件所需的手术步骤。

结果

4例患者采用世界各地开发并改进的技术进行了植入。无手术死亡病例。所有手术均通过腹腔镜成功完成。2例(2/4)连接需要修正,因为导线未完全插入发生器的插头。

结论

植入IGS的手术安全且操作简单。关注技术细节至关重要。

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1
Implantable electrical gastric stimulation to treat morbid obesity in the human: operative technique.植入式电刺激胃治疗人类病态肥胖:手术技术
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引用本文的文献

1
Gastric electrical stimulation: an evidence-based analysis.胃电刺激:基于证据的分析。
Ont Health Technol Assess Ser. 2006;6(16):1-79. Epub 2006 Aug 1.
2
Gastric stimulation for weight loss.胃刺激减肥法。
World J Gastroenterol. 2012 May 21;18(19):2309-19. doi: 10.3748/wjg.v18.i19.2309.
3
The effect on gastric tone of gastric electrical stimulation with trains of short pulses varies with sites and stimulation conditions.短脉冲串胃电刺激对胃张力的影响随部位和刺激条件而变化。

本文引用的文献

1
Long-term Effects of Gastric Pacing to Reduce Feed Intake in Swine.
Obes Surg. 1996 Jun;6(3):250-253. doi: 10.1381/096089296765556854.
2
Gastric Peristalsis Control by Mono Situ Electrical Stimulation: a Preliminary Study.
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A new laparoscopic technique for weight reduction with implanted gastric banding basket.
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Gastric/intestinal electrical stimulation modulates appetite regulatory peptide hormones in the stomach and duodenum in rats.胃/肠电刺激可调节大鼠胃和十二指肠中的食欲调节肽激素。
Obes Surg. 2007 Mar;17(3):406-13. doi: 10.1007/s11695-007-9049-7.
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Laparoscopically implanted gastric pacemaker after kidney-pancreas transplantation: treatment of morbid obesity and diabetic gastroparesis.
Obes Surg. 2007 Jan;17(1):100-3. doi: 10.1007/s11695-007-9013-6.
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Effect of acute gastric electrical stimulation on the systemic release of hormones and plasma glucose in dogs.
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Update on obesity surgery.肥胖症手术的最新进展。
World J Gastroenterol. 2006 May 28;12(20):3196-203. doi: 10.3748/wjg.v12.i20.3196.
9
Laparoscopic surgical concepts of morbid obesity.病态肥胖的腹腔镜手术概念。
Langenbecks Arch Surg. 2003 Dec;388(6):375-84. doi: 10.1007/s00423-003-0420-4. Epub 2003 Oct 30.