Halverson J D, Koehler R E
Am J Surg. 1983 Mar;145(3):357-63. doi: 10.1016/0002-9610(83)90200-3.
The success of gastric restriction procedures for morbid obesity depends on a persistently small gastric pouch and stoma, an intact staple line, and, of equal importance, dietary compliance. Evaluation of patients with either excessive or inadequate weight loss should be directed at determining both the technical adequacy of the operation and the depth of understanding the patient has of his or her role in the success of the procedure. Because of the poor prognosis for weight loss, patients who are not likely to be complaint or who demonstrate a lack of understanding of the behavioral modification required to ensure the success of the procedure should not have reoperation, even if a large pouch or stoma or a disrupted staple line is seen on an upper gastrointestinal series.
用于治疗病态肥胖的胃限制手术的成功取决于持续存在的小胃囊和吻合口、完整的吻合钉线，以及同样重要的饮食依从性。对于体重减轻过多或不足的患者进行评估时，应致力于确定手术的技术是否得当，以及患者对其自身在手术成功中所起作用的理解程度。由于体重减轻的预后较差，对于那些不太可能依从或对确保手术成功所需的行为改变缺乏理解的患者，即使在上消化道造影中发现有大的胃囊或吻合口或吻合钉线破裂，也不应进行再次手术。
