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采用胃分隔术和胃胃吻合术治疗病态肥胖症。

Morbid obesity treated with gastric partitioning and gastrogastrostomy.

作者信息

Amland P F, Tofte A J, Jorde R, Johnson J A, Gjøen A U, Giercksky K E

出版信息

Scand J Gastroenterol. 1986 Apr;21(3):369-73. doi: 10.3109/00365528609003089.

DOI:10.3109/00365528609003089
PMID:3715401
Abstract

Between April 1981 and July 1983, 30 patients were operated on for morbid obesity with gastric partitioning and a gastrogastrostomy (GP). The patients were checked 3, 6, 9, 12, and 24 months postoperatively. Radiological investigations were performed on the 5th postoperative day and after 2-32 months. All patients lost weight postoperatively, ranging from 14 to 45 kg after 9 months, but thereafter a slight increase in weight was noted. The weight loss was not correlated with radiologically measured stoma size or volume of the upper gastric pouch. Thus, in contrast studies combined with Gastroluft (sodium bicarbonate, tartaric acid, and dimethicone), pouch distention does not yield prognostic information on anticipated weight loss. More reliable methods for measuring stoma and pouch size are needed, but other factors like patient motivation and a careful postoperative follow-up study with dietetic advice are probably more important for a satisfactory outcome.

摘要

1981年4月至1983年7月期间,30例病态肥胖患者接受了胃分隔术和胃胃吻合术(GP)。术后3、6、9、12和24个月对患者进行了检查。术后第5天以及术后2至32个月进行了放射学检查。所有患者术后体重均减轻,9个月后体重减轻范围为14至45千克,但此后体重略有增加。体重减轻与放射学测量的吻合口大小或胃上袋的容积无关。因此,在与胃充气造影剂(碳酸氢钠、酒石酸和二甲硅油)联合进行的对比研究中,胃袋扩张并不能提供关于预期体重减轻的预后信息。需要更可靠的测量吻合口和胃袋大小的方法,但患者的积极性以及术后仔细的随访研究并给予饮食建议等其他因素,对于获得满意的结果可能更为重要。

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