Løvig T, Haffner J F, Nygaard K, Stadaas J O
Surgical Department, Ullevål Hospital, Oslo, Norway.
Int J Obes. 1987;11(4):377-84.
During the years 1981-85, 163 patients were treated with gastric banding for morbid obesity. Mean preoperative body weight (+/- s.e.m.) was 121.3 kg +/- 1.4, and mean overweight was 71.5% +/- 1.6 according to Broca's formula. Twenty-four patients had postoperative complications during the first 30 days, mostly minor. Four required reoperation and one of these died. Seventeen patients had late complications, six persistent vomiting necessitating reoperation, eight incisional hernia and three penetration of gastric wall by band. The weight loss was rapid during the first 6 months, and thereafter levelled off. After 2 years the weight loss was 33.4 kg +/- 2.4, corresponding to a mean weight loss of 27.6 percent +/- 1.9 of preoperative weight. There was no significant difference in weight loss expressed as a percentage of preoperative weight between patients operated with an outlet of 12 mm (45 patients) or 15 mm (118 patients), nor between males (37 patients) or females (126 patients). We conclude that our technique of gastric banding seems to be a relatively safe and reliable surgical treatment for morbid obesity. But our follow-up period has been limited to 2 years or less, and a longer follow-up is necessary before the method can be fully evaluated.
在1981年至1985年期间，163例病态肥胖患者接受了胃束带手术治疗。术前平均体重（±标准误）为121.3千克±1.4，根据布罗卡公式计算，平均超重为71.5%±1.6。24例患者在术后30天内出现并发症，多数为轻微并发症。4例需要再次手术，其中1例死亡。17例患者出现晚期并发症，6例持续性呕吐需要再次手术，8例切口疝，3例束带穿透胃壁。体重在最初6个月内迅速下降，此后趋于平稳。2年后体重减轻了33.4千克±2.4，相当于术前体重平均减轻了27.6%±1.9。出口为12毫米（45例患者）或15毫米（118例患者）的手术患者之间，以及男性（37例患者）或女性（126例患者）之间，以术前体重百分比表示的体重减轻没有显著差异。我们得出结论，我们的胃束带手术技术似乎是一种相对安全可靠的病态肥胖手术治疗方法。但我们的随访期仅限于2年或更短，在该方法能够得到充分评估之前，需要更长时间的随访。
