Pomerri F, Liberati L, Curtolo S, Muzzio P C
Department of Radiology, University of Padua, Italy.
Gastrointest Radiol. 1992 Summer;17(3):207-10. doi: 10.1007/BF01888549.
Adjustable gastric banding is the least invasive operation for morbid obesity. Forty-eight patients underwent surgical adjustable gastric banding between March 1990 and August 1991. In 15 of these patients, radiological examination was performed in the early postoperative period because of dysphagia and vomiting, revealing stenosis of the stoma in all cases (caliber less than 0.3 cm); in all patients we easily punched, with fluoroscopically guided observation, the inflatable portion and obtained a true calibration of the gastric banding. In seven patients radiological examination was performed 2 months after surgical treatment because of a lack of weight loss. Radiological findings explain surgical failure, revealing a too wide stoma in four patients, the absence of a gastric pouch due to a too high position of the band in two, and the caudal sliding of the banding in one patient.
可调节胃束带术是治疗病态肥胖症侵入性最小的手术。1990年3月至1991年8月期间，48例患者接受了外科可调节胃束带术。其中15例患者术后早期因吞咽困难和呕吐接受了放射学检查，结果显示所有病例均存在吻合口狭窄（口径小于0.3厘米）；在所有患者中，我们在荧光镜引导下轻松穿刺充气部分，实现了胃束带的精确校准。7例患者因体重未减轻在手术治疗2个月后接受了放射学检查。放射学检查结果解释了手术失败的原因，4例患者显示吻合口过宽，2例患者因束带位置过高导致胃囊未形成，1例患者出现束带向尾侧移位。
