Sjøberg E J, Andersen E, Hoel R, Reinertsen S, Søreide O
Department of Surgery, Rogaland Central Hospital, Stavanger, Norway.
Acta Chir Scand. 1989;155(1):31-4.
Gastric banding for morbid obesity was performed on 73 patients between April 1983 and December 1986. Early complications occurred in 16% and late complications in 15% of the cases. A second operation was performed on 12 patients, with removal of the band in 11 (15%). Initial weight loss was rapid. Re-examination of 67 patients indicated that this initial loss was followed by a time-related weight gain. Weight reduction occurred as a fairly constant proportion of preoperative weight, irrespective of the degree of obesity. Weight loss to body mass index less than or equal to 30 seems to be a realistic expectation only for moderately overweight patients, not for the hyperobese. Older patients had least weight loss. The data suggest that dietary restrictions will still be needed after gastric banding.
1983年4月至1986年12月期间，对73例病态肥胖患者实施了胃束带手术。16%的病例出现早期并发症，15%出现晚期并发症。12例患者接受了二次手术，其中11例（15%）移除了束带。最初体重减轻迅速。对67例患者的复查表明，最初体重减轻后出现了与时间相关的体重增加。体重减轻占术前体重的比例相当恒定，与肥胖程度无关。体重指数降至小于或等于30似乎仅对中度超重患者是现实的期望，对极度肥胖患者则不然。老年患者体重减轻最少。数据表明，胃束带手术后仍需进行饮食限制。
