Granström L, Backman L
Acta Chir Scand. 1987 Mar;153(3):215-20.
Seventy-two patients who underwent gastric banding for extreme obesity were followed for a mean of 30 (range 12-54) months. The mean weight loss after 1 year was 41 kg. About two-thirds of the patients had only minor complaints postoperatively, but the others had complications, some of which were serious. Two patients died. Complications related to the banding technique necessitated 33 reoperations in 22 patients. The most common cause of reoperation/complication was functional stenosis of the upper pouch outlet, but only 3 of 22 revisional operations were successful. Reduction in band tension resulted in fewer reoperations but also less weight loss. The incidence of complications and the poor outcome of revision indicate that gastric banding should still be regarded as an experimental operation. Peroperative measurement of all technical details and careful and frequent follow-up examination are necessary in the search for an optimal technical procedure, giving good weight loss with a minimum of complications.
72例因极度肥胖接受胃束带手术的患者接受了平均30个月（范围12 - 54个月）的随访。1年后平均体重减轻41千克。约三分之二的患者术后仅有轻微不适，但其他患者出现了并发症，其中一些较为严重。两名患者死亡。与束带技术相关的并发症致使22例患者进行了33次再次手术。再次手术/并发症的最常见原因是上袋出口功能性狭窄，但22例翻修手术中仅有3例成功。降低束带张力可减少再次手术，但体重减轻也较少。并发症的发生率以及翻修效果不佳表明，胃束带手术仍应被视为一种试验性手术。在寻求一种能实现良好体重减轻且并发症最少的最佳技术程序时，术中对所有技术细节进行测量以及仔细且频繁的随访检查是必要的。
