Eisenberg Dan, Bellatorre Anna, Bellatorre Nina
Department of Surgery, Stanford School of Medicine, Stanford, CA, USA.
JSLS. 2013 Jan-Mar;17(1):63-7. doi: 10.4293/108680812X13517013317077.
The laparoscopic sleeve gastrectomy (LSG) is emerging as an effective bariatric operation and is especially attractive in high-risk populations. In this study we examine the efficacy of LSG as a stand-alone operation in the veteran population.
This is a retrospective review of consecutive patients who underwent LSG as a stand-alone procedure at the Palo Alto Veterans Affairs medical center with a minimum 12-month follow-up.
Of 205 patients undergoing bariatric surgery, 71 patients had a sleeve gastrectomy, 40 of whom had the operation performed at least 12 months previously. Thirty-six (90%) were available for 1-year follow-up, with a mean follow-up duration of 22 months (range: 12-42), a mean body mass index of 48.3 kg/m(2), and an 83% male population. Mean percent excess weight loss was 61% at an average of 22 months, with no significant difference between severely obese, morbidly obese, and super obese cohorts. Diabetes remission was seen in 56% of patients, hypertension remission in 51.6%, and obstructive sleep apnea remission in 46.4%, and gastroesophageal reflux disease improved or did not change in 83%. Medication use significantly decreased after surgery.
LSG is safe and effective as a stand-alone bariatric operation in the high-risk veteran population. It is effective in severely obese, morbidly obese, and super obese patients. LSG induces remission or improvement in comorbidities of nearly all patients, translating to a decrease in medication use.
腹腔镜袖状胃切除术（LSG）正逐渐成为一种有效的减肥手术，在高危人群中尤其具有吸引力。在本研究中，我们探讨了LSG作为一种独立手术在退伍军人中的疗效。
这是一项对在帕洛阿尔托退伍军人事务医疗中心接受LSG独立手术且至少随访12个月的连续患者的回顾性研究。
在205例行减肥手术的患者中，71例接受了袖状胃切除术，其中40例手术至少在12个月前进行。36例（90%）患者可进行1年随访，平均随访时间为22个月（范围：12 - 42个月），平均体重指数为48.3 kg/m²，男性占83%。平均超重减轻百分比在平均22个月时为61%，重度肥胖、病态肥胖和超级肥胖队列之间无显著差异。56%的患者糖尿病缓解，51.6%的患者高血压缓解，46.4%的患者阻塞性睡眠呼吸暂停缓解，83%的胃食管反流病患者病情改善或未改变。术后药物使用显著减少。
LSG作为一种独立的减肥手术在高危退伍军人人群中是安全有效的。它对重度肥胖、病态肥胖和超级肥胖患者均有效。LSG可使几乎所有患者的合并症缓解或改善，从而减少药物使用。
