Rand C S, Macgregor A, Hankins G
South Med J. 1986 Dec;79(12):1511-4.
In two nonoverlapping cohorts of consecutive patients receiving gastric bypass for obesity, we interviewed 100 patients one year after operation and 60 patients at three years. Weight loss among patients in both cohorts averaged 45 kg; all had improved physical and emotional health, had stable marriages, and had made satisfactory eating adjustments. Factors contributing to successful outcome include the technical skill and experience of the surgical team, adequate preoperative patient preparation, extensive postoperative instruction, medical and dietary follow-up, and patient support groups. Gastric bypass was found to be a safe, effective procedure without the medical morbidity associated with jejunoileal bypass.
在两个连续接受肥胖症胃旁路手术的非重叠患者队列中，我们在术后一年对100名患者进行了访谈，在术后三年对60名患者进行了访谈。两个队列中的患者体重减轻平均为45千克；所有人的身体和情绪健康状况均有所改善，婚姻稳定，并且在饮食调整方面令人满意。促成成功结果的因素包括手术团队的技术技能和经验、充分的术前患者准备、广泛的术后指导、医疗和饮食随访以及患者支持小组。研究发现胃旁路手术是一种安全有效的手术，没有空肠回肠旁路手术相关的医疗并发症。
