Salmon P A
Department of Surgery, University of Alberta, Edmonton.
Can J Surg. 1988 Mar;31(2):111-3.
Because of the unacceptable late failure rates associated with other surgical procedures for morbid obesity, the author has performed a new operation-vertical banded gastroplasty with distal gastric bypass-on 70 patients. In seven of these the gastroplasty stoma had to be debanded. The mean lowest loss of excess weight was 88% and the mean final loss of excess weight was 83% for the main group. The postoperative complication rate was acceptable and no late metabolic complications have been seen. This operation gives improved weight loss when compared with gastroplasty or gastric bypass alone and has none of the late complications associated with intestinal bypass.
由于其他治疗病态肥胖的外科手术存在不可接受的晚期失败率，作者对70例患者实施了一种新手术——垂直捆绑胃成形术联合远端胃旁路术。其中7例患者的胃成形术造口必须解除捆绑。主要组平均最低超重减轻率为88%，平均最终超重减轻率为83%。术后并发症发生率可以接受，且未观察到晚期代谢并发症。与单纯胃成形术或胃旁路术相比，该手术能更好地减轻体重，且没有与肠道旁路术相关的晚期并发症。
