Cadière G B, Himpens J, Hainaux B, Gaudissart Q, Favretti S, Segato G
Centre Hospitalier Universitaire Saint-Pierre, Brussels, Belgium.
Semin Laparosc Surg. 2002 Jun;9(2):105-14.
The introduction of laparoscopic adjustable silicone gastric banding (LASGB) has recently revolutionized gastric restrictive procedures in the treatment of morbid obesity. We analysed the short and long term results of this minimally invasive bariatric procedure. A total of 652 patients with a body mass of (median) 45 kg/m(2) were treated. There were only minor preoperative incidents. One patient died more than one month after the procedure. Early postoperative complications included 2 gastric perforations caused by a nasogastric tube and one early slipping of the band. Late complications occurred in 7% of the patients: 25 patients suffered a pouch dilation, 2 patients had gastric erosion by the band; 18 patients had port complications requiring reoperation. Loss of excess weight was 62% at 2 years. Laparoscopic adjustable gastric banding is a safe and effective treatment for morbid obesity. The most frequent complication is pouch dilation. Further study is warranted for the evaluation of long term results.
腹腔镜可调节硅胶胃束带术（LASGB）的引入最近彻底改变了病态肥胖治疗中的胃限制性手术。我们分析了这种微创减肥手术的短期和长期结果。共治疗了652例体重（中位数）为45kg/m²的患者。术前仅有轻微事件。1例患者在术后1个多月死亡。术后早期并发症包括2例由鼻胃管引起的胃穿孔和1例束带早期滑脱。7%的患者发生晚期并发症：25例患者出现胃囊扩张，2例患者胃束带侵蚀；18例患者出现端口并发症需要再次手术。2年时超重减轻了62%。腹腔镜可调节胃束带术是治疗病态肥胖的一种安全有效的方法。最常见的并发症是胃囊扩张。有必要进一步研究以评估长期结果。
