Findlay Laura, Ball William, Ramus James
Department of Upper Gastrointestinal and Bariatric Surgery, Royal Berkshire Hospital, London Road, Reading, Berkshire, UK, RG15AN,
Obes Surg. 2015 Jul;25(7):1302-6. doi: 10.1007/s11695-015-1661-3.
Gastric band slippage is a significant challenge in gastric band surgery and can result in poor weight loss, pain and dysphagia, often requiring re-operation. The Royal Berkshire Hospital is one of 49 UK centres performing bariatric surgery. We audited our band slippage rates.
All patients undergoing gastric banding from February 2007 to December 2013 were included (follow-up until December 2014). Slip rate was calculated and compared to an audit standard (3.9 %). The impact of two interventions altering the method of band filling and post-operative dietary advice was studied.
Initial slippage rates were high (17 %). Rates decreased following the interventions: 8.5 % by July 2012 (p = 0.05); 2.7 % by December 2014 (p = 0.2).
Two simple, low-risk interventions have reduced complication rates in a high-risk population.
胃束带滑脱是胃束带手术中的一项重大挑战，可能导致体重减轻不佳、疼痛和吞咽困难，常常需要再次手术。皇家伯克郡医院是英国49家开展减肥手术的中心之一。我们对我们的束带滑脱率进行了审核。
纳入2007年2月至2013年12月期间所有接受胃束带手术的患者（随访至2014年12月）。计算滑脱率并与审核标准（3.9%）进行比较。研究了两项改变束带填充方法和术后饮食建议的干预措施的影响。
初始滑脱率较高（17%）。干预后率下降：到2012年7月为8.5%（p = 0.05）；到2014年12月为2.7%（p = 0.2）。
两项简单、低风险的干预措施降低了高危人群的并发症发生率。
