Ramsey-Stewart G
Aust N Z J Surg. 1985 Apr;55(2):169-76. doi: 10.1111/j.1445-2197.1985.tb00879.x.
Forty-four morbidly obese patients underwent gastroplasty with a transverse double stapled partition forming a 20-30 ml proximal gastric pouch and a 10 mm diameter stoma on the greater curve supported by three non-absorbable imbricating seromuscular inverting suture layers to form a neopylorus. All patients have been followed at approximately 4 weekly intervals for at least 72 weeks and all patients have been submitted to endoscopic assessment at the end of 1 year. There was no mortality and there were no major immediate postoperative complications. Three patients (6.8%) had inadequate weight loss (in two associated with partial staple line failure). The other 41 patients (93.2%) reached final weights less than or equal to 40% above ideal weight. Sixteen patients (36.4%) reached their ideal weight. Six patients (13.6%) developed stomal stenosis (two requiring re-operation, and four requiring endoscopic dilatation).
44例病态肥胖患者接受了胃成形术，采用横向双吻合器分隔，形成一个20 - 30毫升的近端胃囊和一个位于大弯侧直径10毫米的吻合口，由三层不可吸收的浆肌层内翻缝合支撑以形成新幽门。所有患者均每隔约4周进行随访，至少随访72周，所有患者在1年末均接受了内镜评估。无死亡病例，术后也无重大近期并发症。3例患者（6.8%）体重减轻不足（2例与部分吻合钉线失败有关）。其他41例患者（93.2%）最终体重低于或等于理想体重的40%。16例患者（36.4%）达到理想体重。6例患者（13.6%）发生吻合口狭窄（2例需要再次手术，4例需要内镜扩张）。
