Miskowiak J
Dan Med Bull. 1987 Apr;34(2):118-21.
Between 1980 and 1985, three types of horizontal and one of vertical gastroplasty were employed in an attempt to find the best alternative to jejunoileal bypass in morbid obesity. Operations were tried successively, one being abandoned in favour of the next whenever unsatisfactory results were too frequent. Thus survey pertains to 93 consecutive, but previously untreated patients. The four groups were comparable with regard to inclusion criteria, preoperative degree of obesity and postoperative care. Weight losses were significantly greater in the vertical type, while there were no significant differences among the horizontal types of gastroplasty. There were few and only minor differences with regard to complications. Evidence to date seems to point to vertical gastroplasty as the best surgical treatment in morbid obesity.
1980年至1985年间,采用了三种水平式和一种垂直式胃成形术,试图找到病态肥胖患者空肠回肠旁路术的最佳替代方法。手术是相继进行的,每当不满意的结果过于频繁时,就会放弃一种手术而选择下一种。因此,本调查涉及93例连续但此前未接受过治疗的患者。四组在纳入标准、术前肥胖程度和术后护理方面具有可比性。垂直式胃成形术的体重减轻明显更大,而水平式胃成形术之间没有显著差异。在并发症方面,差异很少且很小。迄今为止的证据似乎表明,垂直式胃成形术是病态肥胖的最佳手术治疗方法。