Hanson F, Perera A
N Z Med J. 1982 Jun 23;95(710):426-8.
Forty-eight patients underwent surgery for morbid obesity, 20 had gastric bypass and 28 had gastric partitioning or stapling. Gastric bypass was effective in producing satisfactory weight loss. There were few long term sequelae. However, it was complex and difficult technically, with a substantial mortality--three deaths. Gastric partitioning was simpler and safer, no mortality or serious complications but it was less reliable in producing satisfactory weight loss. Eleven patients showing no sign of getting within 20 percent of their ideal weight; this includes four with staple disruption. A small stomach syndrome is produced with transient qualitative limitation of overeating. A degree of motivation and dietary reform is necessary to produce the qualitative changes that the dumping symptoms, associated with gastric bypass, compel. Important features of management are careful selection and counselling pre operatively and regular follow up by both surgeon and dietitian.
48名患者接受了治疗病态肥胖症的手术，20例行胃旁路手术，28例行胃分隔术或胃吻合器手术。胃旁路手术在实现令人满意的体重减轻方面是有效的。长期后遗症很少。然而，该手术技术复杂且难度大，有相当高的死亡率——3例死亡。胃分隔术更简单、更安全，无死亡或严重并发症，但在实现令人满意的体重减轻方面不太可靠。11名患者没有显示出体重降至理想体重20%以内的迹象；这包括4例吻合器破裂的患者。胃分隔术会产生小胃综合征，伴有进食过量的短暂定性限制。需要一定程度的动机和饮食改革来产生与胃旁路手术相关的倾倒症状所迫使的定性变化。管理的重要特征是术前仔细筛选和咨询，以及外科医生和营养师的定期随访。
