Starkloff G B, Stothert J C, Sundaram M
Ann Surg. 1978 Nov;188(5):697-700. doi: 10.1097/00000658-197811000-00020.
Six hundred sixty-four patients who have had metabolic intestinal surgery for the treatment of morbid obesity are reviewed. Particular attention is directed to difference in weight loss, morbidity and mortality in end-to-side and end-to-end shunts, the former performed in 300 patients and the latter in 262 patients. Unsatisfactory weight loss was observed in 20% of patients with end-to-side shunts, while only 8% of patients with end-to-end shunts failed to lose a sufficient amount of weight. Morbidity and mortality were significantly increased in this latter group. This led to adoption of a modification of the end-to-side operation by developing a plication ?REVENT REFLUX. Our preliminary observation indicates that in 102 patients who have had this operation, similar weight loss is attained to that of end-to-end shunts with no greater morbidity or mortality than the end-to-side type.
对664例因治疗病态肥胖而接受代谢性肠道手术的患者进行了回顾。特别关注端侧分流术和端端分流术在体重减轻、发病率和死亡率方面的差异，前者应用于300例患者，后者应用于262例患者。端侧分流术患者中有20%体重减轻不理想，而端端分流术患者中只有8%未能减轻足够的体重。后一组的发病率和死亡率显著增加。这导致对端侧手术进行改良，通过形成一个折叠术来防止反流。我们的初步观察表明，在接受该手术的102例患者中，体重减轻情况与端端分流术相似，发病率和死亡率不高于端侧分流术。
