Forse R A, Deitel M, MacLean L D
Department of Surgery, Royal Victoria Hospital, McGill University, Montreal, PQ.
Can J Surg. 1988 Mar;31(2):118-20.
Eighteen patients who had undergone horizontal gastroplasty experienced postoperative weight gain due to technical failure (large orifice in 10 patients, staple-line disruption in 7 and a large pouch in 1). A vertical banded gastroplasty was used to correct the problem, with a resulting operative morbidity of 38.9%. This included perforation with peritonitis (five patients) and complete outlet obstruction (two patients). These complications appear to result from poor blood supply to the area of the anastomosis necessary in this conversion. This study indicates that it is not safe to use vertical banded gastroplasty for the failed horizontal gastroplasty.
18例接受了水平胃成形术的患者因技术失败出现术后体重增加（10例大开口、7例吻合钉线破裂、1例大胃袋）。采用垂直束带胃成形术纠正该问题，手术并发症发生率为38.9%。这包括穿孔伴腹膜炎（5例患者）和完全出口梗阻（2例患者）。这些并发症似乎是由于这种转换所需吻合区域血供不良所致。本研究表明，对失败的水平胃成形术使用垂直束带胃成形术是不安全的。
