Scott H W
Langenbecks Arch Chir. 1982;356(1):25-35. doi: 10.1007/BF01270599.
A comparative study has been made of three methods for the operative treatment of obesity. Of my own cases, 235 underwent a jejunoiliac bypass procedure, and the results have been analyzed: operative lethality 2.1%; postoperative complications 21%. Of the patients whose residual ileum was quite short (about 45 cm), about 70% reached their ideal weight. Metabolic late complications were considerable (e.g., liver damage in 15%, electrolyte deficit in 12%, and arthritis in 10%). In the late observation time of 14 years, 14 patients died, 10 of them as a result of the operation. Three different stomach-bypass procedures are described. The collective statistics compiled on 1585 patients indicated 1.6% postoperative lethality and 22% postoperative complications. Of the total patients. 90% were very satisfied with the procedure and in only 5% was a weight gain recorded after 5 years. The latest procedure is gastroplasty according to the Gomez method: the first 200 cases show 0.5% postoperative lethality and postoperative complications in 18.5%. Although this procedure is technically simple, the late observation time is not yet adequate for a definitive comparison.
对三种肥胖症手术治疗方法进行了比较研究。在我自己的病例中，235例接受了空肠回肠旁路手术，并对结果进行了分析：手术死亡率为2.1%；术后并发症为21%。在残余回肠相当短（约45厘米）的患者中，约70%达到了理想体重。代谢性晚期并发症相当多（例如，15%出现肝损伤，12%出现电解质缺乏，10%出现关节炎）。在14年的后期观察期内，有14例患者死亡，其中10例死于手术。描述了三种不同的胃旁路手术。对1585例患者进行的综合统计显示，术后死亡率为1.6%，术后并发症为22%。在所有患者中，90%对该手术非常满意，只有5%的患者在5年后体重增加。最新的手术是根据戈麦斯方法进行的胃成形术：前200例显示术后死亡率为0.5%，术后并发症为18.5%。尽管该手术在技术上很简单，但后期观察时间还不足以进行明确的比较。
