Baltasar A
Department of Surgery, Hospital Virgen de los Lirios, Alcoy, Alicante, Spain.
Acta Chir Scand. 1989 Feb;155(2):107-12.
A modification of Mason's vertical banded gastroplasty for morbid obesity is presented, along with experience from 62 treated patients. The modification consists of vertical separation of the reservoir and gastric cavities by division of the gastric wall with a linear cutter and use of a serosal patch to prevent leakage to the abdomen. No breakdown of the vertical suture line occurred. The one major complication was a posterior esophageal injury. Subcutaneous wound infection occurred in two patients. There was no pulmonary embolism and no death. The average weight loss at 1 year postoperatively was 40 kg from the initial body weight, or 61.5% of the excess weight. The body mass index at 1 year had fallen from 47 to 32.45.
本文介绍了一种针对病态肥胖的改良梅森垂直捆绑胃成形术，并分享了62例接受治疗患者的经验。改良方法包括使用线性切割器分割胃壁，将储液腔和胃腔垂直分离，并使用浆膜补片防止漏入腹腔。垂直缝线未出现裂开。主要并发症为食管后壁损伤。两名患者出现皮下伤口感染。未发生肺栓塞，也无死亡病例。术后1年平均体重较初始体重减轻40kg，即超重部分的61.5%。1年后体重指数从47降至32.45。
