Department of Surgery, St Columcille's Hospital, Loughlinstown Co, Dublin, Ireland.
Obes Surg. 2012 May;22(5):773-6. doi: 10.1007/s11695-011-0526-7.
Laparoscopic adjustable gastric banding (LAGB) is a popular surgical procedure for the management of morbid obesity. Gastric band slippage (GBS) is the most common long-term complication. In this study, the effect of GBS on body mass index (BMI) and quality of life (QOL) were assessed.
This was a retrospective, case-controlled study. Patient demographics and BMI were prospectively recorded, and QOL was assessed via telephone questionnaire using the medical outcomes study short-form-36 (SF-36). The QOL of the GBS group were compared with an age, sex, and duration of follow-up matched control group who underwent uncomplicated LAGB (n = 10).
Seventeen patients with GBS who underwent surgery were identified. Ten patients underwent band removal, and seven underwent revision surgery (six band repositioning and one Roux-en-Y gastric bypass); all were managed laparoscopically. Mean follow-up since re-operation was 17.2 ± 2.9 months. A significant increase in BMI occurred following GBS surgery (29.0 ± 1.5 vs. 33.8 ± 1.0, P = 0.035), which did not differ between the removal or revision groups. Overall, there was no difference in QOL between the GBS and control groups. On subgroup analysis, those who underwent revision surgery had a worse score in limitations in social activities because of physical or emotional problems than those who underwent band removal (92.0 ± 3.9 vs. 70.8 ± 10.0, P = 0.046).
Following surgery for GBS, patients experience a rise in BMI. Overall, this does not affect patient QOL but may limit social activities because of physical or emotional problems in those who have band revision surgery.
腹腔镜可调节胃束带术（LAGB）是治疗病态肥胖的一种流行手术。胃束带滑脱（GBS）是最常见的长期并发症。本研究评估了 GBS 对体重指数（BMI）和生活质量（QOL）的影响。
这是一项回顾性病例对照研究。前瞻性记录患者的人口统计学数据和 BMI，并通过电话问卷调查使用医疗结局研究短表-36（SF-36）评估 QOL。将 GBS 组的 QOL 与接受无并发症 LAGB 的年龄、性别和随访时间匹配的对照组（n = 10）进行比较。
共确定了 17 例 GBS 患者接受手术。10 例患者行带移除术，7 例行修正手术（6 例重新定位带，1 例 Roux-en-Y 胃旁路术）；所有手术均为腹腔镜下进行。自再次手术后的平均随访时间为 17.2 ± 2.9 个月。GBS 手术后 BMI 显著增加（29.0 ± 1.5 vs. 33.8 ± 1.0，P = 0.035），但在带移除或修正组之间没有差异。总体而言，GBS 组和对照组之间的 QOL 没有差异。亚组分析显示，行修正手术的患者在因身体或情绪问题限制社会活动方面的评分较行带移除的患者差（92.0 ± 3.9 vs. 70.8 ± 10.0，P = 0.046）。
GBS 手术后，患者的 BMI 会上升。总体而言，这不会影响患者的 QOL，但可能会限制因身体或情绪问题而行带修正手术的患者的社会活动。
