Buckwalter J A, Herbst C A
Am J Surg. 1980 Jan;139(1):55-60. doi: 10.1016/0002-9610(80)90230-5.
This report details the complications observed in 154 morbidly obese patients who has a gastric bypass performed in the period from April 1975 through March 1979. Thirteen intraoperative complications occurred. In the first 30 days after operation, one or more complications developed in 29 or 17.9 percent of the patients. One patient died from pulmonary embolism. The most serious complication unique to gastric bypass was a leak from the stomach or the anastomosis. The factors responsible are discussed and suggestions are made concerning the prevention of this complication. Sixteen late complications occurred in 13 patients. The 62 operative procedures performed incidental to gastric bypass and the 50 performed subsequently as a result of it are enumerated and discussed. The findings of this investigation document the serious complications that may occur with gastric bypass. The late complications of this operation are few and trivial compared with those that occur with jejunoileal bypass [1,2,4,5,9].
本报告详细介绍了1975年4月至1979年3月期间接受胃旁路手术的154例病态肥胖患者中观察到的并发症。术中发生了13例并发症。术后前30天，29例患者（占17.9%）出现了一种或多种并发症。1例患者死于肺栓塞。胃旁路手术特有的最严重并发症是胃或吻合口漏。文中讨论了相关因素，并就预防该并发症提出了建议。13例患者出现了16例晚期并发症。列举并讨论了胃旁路手术附带进行的62例手术以及随后因该手术而进行的50例手术。本研究结果记录了胃旁路手术可能发生的严重并发症。与空肠回肠旁路手术相比，该手术的晚期并发症较少且轻微[1,2,4,5,9]。
