Department of Visceral, Transplantation and Thoracic Surgery, Innsbruck Medical University Hospital, Anichstrasse 35, 6020, Innsbruck, Austria.
Obes Surg. 2009 Oct;19(10):1401-8. doi: 10.1007/s11695-009-9936-1. Epub 2009 Aug 13.
The study aim was to retrospectively assess whether patients were able to maintain their weight after gastric band removal or deflation and how they felt about gastric banding.
A total of 41 patients (93% female, mean age 34.1 (SD 10.5) years) were included in this study: patients who had their band removed/deflated without further surgical intervention (group 1, n = 26) and those who later underwent a second bariatric operation (group 2, n = 15). We evaluated weight gain after band removal/during the time between band removal and second bariatric operation.
Of our patients, 31 (76%) suffered a complication (18 late pouch dilatations, six band infections, five band migrations, and two band leaks) requiring band removal. Ten patients wanted their band removed (six) or emptied (four). Mean time after band removal, when patients had neither a band nor a second bariatric operation, was 2.84 (SD 2.3) years. Five (12.2%) patients maintained their weight, four of whom experienced a learning effect; all others gained weight. Mean body mass index for both groups after the period without a band was 36.7 (SD 8.0) kg/m(2) (vs 29.4 (SD 7.0) at removal), and excess weight loss was 33.2% (SD 39.2; vs 69.8% (SD 32.9) at removal). Of our patients, 73% would not agree to gastric banding again. According to the bariatric analysis and reporting outcome system, long-term outcome of patients following band removal was a "failure" in 66% of patients.
Long-term outcome following band removal is unsatisfactory in many patients. Nevertheless, a minority of patients was able to maintain its weight loss.
本研究旨在回顾性评估胃束带去除或放气后患者体重是否能维持，以及他们对胃束带的感受。
共纳入 41 名患者（93%为女性，平均年龄 34.1[10.5]岁）：未行进一步手术干预即去除/放气胃束带的患者（组 1，n=26）和随后行二次减重手术的患者（组 2，n=15）。我们评估了胃束带去除后的体重增加/胃束带去除与二次减重手术之间的时间。
我们的患者中有 31 名（76%）发生并发症（18 例迟发性囊袋扩张、6 例束带感染、5 例束带移位和 2 例束带渗漏）需要去除束带。10 名患者希望去除束带（6 例）或排空（4 例）。去除束带后，当患者既没有束带也没有进行第二次减重手术时，平均时间为 2.84（2.3）年。5 名（12.2%）患者维持体重，其中 4 名患者有学习效果；其余所有患者体重增加。两组在无束带期间的平均体重指数为 36.7（8.0）kg/m²（去除时为 29.4（7.0）kg/m²），超重减轻率为 33.2%（39.2）；（去除时为 69.8%（32.9））。我们的患者中，73%的人不会再同意胃束带。根据减重分析和报告结果系统，胃束带去除后患者的长期结果为 66%的患者为“失败”。
胃束带去除后，许多患者的长期结果并不满意。然而，少数患者能够维持其体重减轻。
