Jacobs P P, Croiset van Uchelen F A, Bruyninckx C M, Donker F J, Driessen W M, Breuer C
Afd. Algemene Chirurgie, Sint Joseph Ziekenhuis, Veldhoven.
Ned Tijdschr Geneeskd. 1991 Aug 10;135(32):1445-9.
To determine the long-term results of the surgical treatment of patients with morbid obesity, a retrospective analysis of the patients in whom a vertical banded gastroplasty according to Mason was performed in the period 1982-1990 was carried out in the department of General Surgery, St. Joseph Hospital, Veldhoven, the Netherlands. In a series of 20 patients (4 men and 16 women) with a mean age of 32 (17-53) years who were eligible for treatment according to international criteria surgery was performed. The preoperative weight averaged 124 (94-207) kg and the mean preoperative excess weight was 60 (37-132) kg. Immediate postoperative complications occurred in 5 and late complications in 7 patients. Revision for technical complications was necessary in 2 patients. Twelve patients were followed up for more than 4 years. The mean weight loss after 4 years was 37 (18-89) kg, which was 28 (18-43) per cent of the mean preoperative weight and 62 (31-89) per cent of the mean preoperative excess weight. The 4-year results were unsatisfactory (less than 50 percent excess weight loss) in 3 of the 12 patients. It is concluded that vertical banded gastroplasty in our hands seems a relatively safe and effective surgical method of achieving sustained weight loss in most patients.
为了确定病态肥胖患者手术治疗的长期效果，荷兰费尔德霍芬圣约瑟夫医院普通外科对1982年至1990年间按照梅森方法进行垂直束带胃成形术的患者进行了回顾性分析。在符合国际标准治疗条件的20例患者（4例男性和16例女性）中进行了手术，这些患者的平均年龄为32岁（17 - 53岁）。术前平均体重为124千克（94 - 207千克），术前平均超重为60千克（37 - 132千克）。5例患者出现术后即刻并发症，7例患者出现晚期并发症。2例患者因技术并发症需要进行翻修手术。12例患者接受了超过4年的随访。4年后平均体重减轻37千克（18 - 89千克），占术前平均体重的28%（18% - 43%），占术前平均超重的62%（31% - 89%）。12例患者中有3例4年的结果不理想（超重减轻少于50%）。结论是，在我们手中，垂直束带胃成形术似乎是一种相对安全有效的手术方法，能使大多数患者实现持续减重。
