Lechner G W, Elliott D W
Arch Surg. 1983 Jun;118(6):685-92. doi: 10.1001/archsurg.1983.01390060007002.
We report follow-up findings after two to almost four years on 100 patients who were described in a previously published prospective randomized series. Horizontally stapled gastric partition (gastroplasty) was compared with gastric exclusion (bypass) using a Roux-en-Y jejunal loop. An additional 142 patients had the identical operative procedures performed during the same time period, but chose their own operation. Both procedures used a small gastric pouch (15 mL) and calibrated 10-mm opening. Weight loss was better after exclusion and has continued to be better. Patients who lose weight well do not regain. There were complications in 8% of the exclusion patients and 12% of the partitioning patients and one death in the exclusion group--0.4% of the total group. Since gastric exclusion is safe and produces significantly better weight loss, we believe it sets the current standard against which all other bariatric surgery must be compared.
我们报告了对先前发表的前瞻性随机系列研究中描述的100例患者进行两到近四年随访后的结果。采用Roux-en-Y空肠袢，将水平吻合胃分隔术（胃成形术）与胃切除术（旁路手术）进行比较。另外142例患者在同一时期接受了相同的手术操作，但他们自行选择了手术方式。两种手术均采用小胃囊（15毫升）和校准后的10毫米开口。胃切除术后体重减轻效果更好，且持续保持较好状态。体重减轻良好的患者不会反弹。胃切除组患者的并发症发生率为8%，胃分隔组为12%，胃切除组有1例死亡——占总患者数的0.4%。由于胃切除术安全且能显著减轻体重，我们认为它确立了当前所有其他减肥手术都必须与之比较的标准。
