Frezza Eldo E, Jaramillo-de la Torre Eduardo J, Calleja Enriquez Carmen, Gee Laura, Wachtel Mitchell S, Lopez Corvala Juan Antonio
Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas 79430-8312, USA.
Surg Innov. 2009 Mar;16(1):68-72. doi: 10.1177/1553350608328866. Epub 2008 Dec 12.
Laparoscopic adjustable gastric banding (LAGB) is a commonly performed bariatric procedure. When LAGB fails, restrictive procedures such as gastric bypass have been performed. Laparoscopic sleeve gastrectomy (LSG) has been suggested as an alternative, but it has not yet been fully studied. Evaluated in this report are the experiences of patients who underwent LSG, a restrictive procedure, as a rescue procedure for failed LAGB.
From June 2002 to June 2007, charts of patients who underwent LAGB were reviewed to find those who had undergone LSG as a rescue procedure.
Of 294 patients who underwent LAGB, 10 later underwent LSG. Median excess weight loss (EWL) prior to LSG had been 34%; after LSG, median EWL was 55%. Before LSG was performed, patients had a median 11.5 comorbidities, all of which improved after LSG. No major complications or deaths resulted.
The results suggest LSG might be a reasonable choice for patients who fail LAGB. A formal study comparing LSG with other rescue procedures should be performed.
腹腔镜可调节胃束带术（LAGB）是一种常见的减肥手术。当LAGB失败时，会采用诸如胃旁路术等限制性手术。有人提出腹腔镜袖状胃切除术（LSG）可作为一种替代方法，但尚未得到充分研究。本报告评估了接受LSG（一种限制性手术）作为LAGB失败后的补救手术的患者的经验。
回顾2002年6月至2007年6月期间接受LAGB手术的患者病历，以找出那些接受LSG作为补救手术的患者。
在294例接受LAGB手术的患者中，有10例后来接受了LSG手术。LSG术前的中位超重减轻（EWL）为34%；LSG术后，中位EWL为55%。在进行LSG手术前，患者的合并症中位数为11.5种，所有这些合并症在LSG术后均有所改善。未发生重大并发症或死亡。
结果表明，对于LAGB失败的患者，LSG可能是一个合理的选择。应进行一项将LSG与其他补救手术进行比较的正式研究。
