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再次手术——适应证、疗效及长期随访

Reoperative surgery--indications, efficacy, and long-term follow-up.

作者信息

Linner J H, Drew R L

机构信息

University of Minnesota, Minneapolis.

出版信息

Am J Clin Nutr. 1992 Feb;55(2 Suppl):606S-610S. doi: 10.1093/ajcn/55.2.606s.

DOI:10.1093/ajcn/55.2.606s
PMID:1733138
Abstract

The Roux-en-Y gastric bypass with fascial support (RYGBPF) has proved to be effective as a primary as well as a revision/conversion operation in the management of morbid obesity. Since May 1984, 361 primary and 100 revision RYGBPF operations have been reported with low morbidity and mortality although morbidity and mortality were higher in the revision than in the primary group. The most common late complications of gastric-reduction operations resulting in weight regain were staple line disruption and pouch or stoma enlargement. With the use of the RYGBPF as a primary as well as a revision operation, weight loss results at 5 y have been good and our revision operation rate has dropped to less than 1%.

摘要

带筋膜支撑的Roux-en-Y胃旁路术(RYGBPF)已被证明在治疗病态肥胖方面,作为初次手术以及翻修/转换手术均有效。自1984年5月以来,已报告了361例初次和100例翻修RYGBPF手术,其发病率和死亡率较低,尽管翻修组的发病率和死亡率高于初次手术组。导致体重反弹的胃减容手术最常见的晚期并发症是吻合钉线裂开以及胃囊或吻合口扩大。将RYGBPF用作初次手术以及翻修手术时,5年的体重减轻效果良好,并且我们的翻修手术率已降至1%以下。

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