[肥胖患者腹腔镜可调节胃束带术后的长期结局及高失访率原因]
[Long-term outcomes and cause of high rate of loss to follow-up after laparoscopic adjustable gastric banding in obese patients].
作者信息
Liu Pei, Zheng Cheng-zhu
机构信息
Department of Minimal Invasive Surgery, The Second Military Medical University, Shanghai, China.
出版信息
Zhonghua Wei Chang Wai Ke Za Zhi. 2013 Jan;16(1):66-9.
OBJECTIVE
To evaluate the long-term outcomes of weight loss and the cause of high rate of loss to follow-up after laparoscopic adjustable gastric banding (LAGB) in obese patients.
METHODS
Clinical and follow-up data of 226 obese patients undergoing LAGB operation in the Changhai Hospital from June 2003 to June 2007 were analyzed retrospectively.
RESULTS
A total of 125 patients were followed up for 3-7 years. Among these 125 cases, 115 (92.0%) presented weight loss after LAGB, 60 (48.0%) presented extra weight loss after LAGB. Another 105 cases (44.7%) were lost to follow-up. Most of patients who were loss to follow-up were younger (P<0.05). Gender, weight and BMI were not associated with the rate of loss to follow-up (all P>0.05).
CONCLUSIONS
Laparoscopic adjustable gastric band surgery is a relatively simple and safe procedure among the bariatric surgery, but the follow-up protocol is complex and the rate of loss to follow-up is high. Postoperative follow-up should be emphasized.
目的
评估肥胖患者腹腔镜可调节胃束带术（LAGB）后体重减轻的长期效果以及随访失访率高的原因。
方法
回顾性分析2003年6月至2007年6月在长海医院接受LAGB手术的226例肥胖患者的临床和随访数据。
结果
共125例患者获得3至7年的随访。在这125例患者中，115例（92.0%）在LAGB术后体重减轻，60例（48.0%）有额外的体重减轻。另外105例（44.7%）失访。失访的患者大多较为年轻（P<0.05）。性别、体重和BMI与失访率无关（均P>0.05）。
结论
腹腔镜可调节胃束带手术在减肥手术中是一种相对简单且安全的术式，但随访方案复杂，随访失访率高。应重视术后随访。
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