Department of Upper GI and Bariatric Surgery, Sheffield Teaching Hospitals NHS Foundation Trust, South Yorkshire S5 7AU, UK.
Obes Surg. 2013 Jan;23(1):56-9. doi: 10.1007/s11695-012-0760-7.
Gastric banding is a well-recognized and common method of weight reduction surgery. Between November 2001 and September 2011, 1,100 laparoscopic adjustable gastric banding operations were performed in Sheffield. This study examines the long-term complication rate.
All available medical notes for patients undergoing gastric banding by one surgeon were reviewed. Data were available for 1,079 patients.
A total of 932 females and 147 males underwent gastric banding. Mean weight was 120 kg, with body mass index of 43.3. Complications occurred in 347 patients (32.1 %). One hundred three (13.2 %) patients experienced band slippage; re-operation was required in half of these cases. Eighty-two patients had their band removed due to complications; there was slippage in 60, erosion in 17, and band intolerance in 5. One hundred thirty-six (12.6 %) patients experienced problems with their port or port tubing. Thirty-seven ports were flipped, noted during clinical or radiological fills (3.4 %), and 17 patients experienced port infection (1.5 %). Fifty ports required repositioning (4.6 %); 16 (1.4 %) were removed or replaced including five for cutaneous erosion. Eleven patients experienced tubing problems. Four patients required procedures to deal with intraoperative complications. Eighteen patients had a concurrent procedure. One postoperative death was due to biliary peritonitis in a patient who had undergone simultaneous cholecystectomy.
Complication rates reflect those in the literature. Slippage rate may appear higher in our patients, but this is a reflection of the fact that most patients undergo radiological band fills; hence, many non-symptomatic slippages are detected. Only half of our slippages (6.6 % of all patients) were clinically apparent or needed any intervention.
胃带术是一种公认的、常见的减肥手术方法。2001 年 11 月至 2011 年 9 月期间，在谢菲尔德共进行了 1100 例腹腔镜可调胃带手术。本研究旨在检查长期并发症的发生率。
对一位外科医生进行的胃带手术的所有可获得的病历进行了回顾。共有 1079 例患者的数据可供分析。
共 932 例女性和 147 例男性接受了胃带术。平均体重为 120 公斤，体重指数为 43.3。347 例（32.1%）患者出现并发症。103 例（13.2%）患者发生带移位，其中一半需要再次手术。82 例因并发症而取出胃带，其中 60 例发生带移位、17 例发生带侵蚀、5 例发生带不耐受。136 例（12.6%）患者出现端口或端口管问题。37 个端口在临床或放射学填充时发生翻转，占 3.4%，17 例患者发生端口感染（1.5%）。50 个端口需要重新定位（4.6%）；16 个（1.4%）被取出或更换，其中 5 个因皮肤侵蚀而更换。11 例患者出现管问题。4 例患者需要手术处理术中并发症。18 例患者同时进行了其他手术。1 例术后死亡是由于同时进行胆囊切除术的患者发生胆漏性腹膜炎。
并发症发生率反映了文献中的情况。我们患者的带移位发生率似乎较高，但这反映了这样一个事实，即大多数患者接受放射学带填充，因此许多无症状的带移位被检测到。只有一半的带移位（所有患者的 6.6%）在临床上明显或需要任何干预。
