Gleysteen J J
Veterans Administration Medical Center, Birmingham, Alabama.
Gastroenterol Clin North Am. 1987 Sep;16(3):525-7.
There were 133 morbidly obese patients who received a Roux-Y gastric bypass in which a 12-mm gastrojejunostomy was sutured with multifilament steel (72 patients) for reinforcement or with interrupted silk (61 patients). Weight loss through 4 years was not different between the two patient groups. Moreover, weight loss in patients whose gastric stomas enlarged up to 16 mm was not different from those in whom the stomas remained at 12 mm. Stoma reinforcement with noncompliant steel did not add to long-term weight loss.
有133例病态肥胖患者接受了Roux-Y胃旁路手术，其中72例患者用多丝钢缝合12毫米胃空肠吻合口以加强，61例患者用间断丝线缝合。两组患者4年期间的体重减轻情况并无差异。此外，胃造口扩大至16毫米的患者与造口保持在12毫米的患者体重减轻情况也无差异。使用不兼容钢进行造口加强并不能增加长期体重减轻效果。
