Løvig T, Haffner J F, Kaaresen R, Nygaard K, Stadaas J O
Surgical Department, Ullevaal Hospital, Oslo, Norway.
Int J Obes Relat Metab Disord. 1993 Aug;17(8):453-7.
This paper reports on a five year follow-up of 174 morbidly obese patients (132 women) with gastric banding performed between 1981 and 1985. Mean preoperative weight was 122.6 +/- 1.4 kg (s.e.m.) (body mass index (BMI) = 41.8 +/- 0.4 kg/m2) and mean overweight was 73.2 +/- 1.6%. After rapid weight loss during the first six months weight levelled off reaching a nadir at 12-18 months. At 12 months mean weight loss was 36.5 +/- 1.2 kg (BMI = 29.1 +/- 0.4 kg/m2). At 60 months BMI had increased to 32.3 +/- 0.6 kg/m2 (P < 0.05 vs. 12 and 24 months). Mean excess weight at 60 months was 33.5 +/- 2.4% with 47.5% of patients maintaining less than 30% overweight. There were no differences in relative weight loss between men and women and no differences between stomal diameter of 12 or 15 mm 60 months after the operation. Early post-operative complications occurred in 25 patients (14.4%), four of whom required reoperation. Three of these re-operations were for perforations, one of which was fatal. Forty-eight patients (28%) had altogether 60 late complications requiring 26 reoperations (14.9%). There has been a total of four deaths (one clearly unrelated, one unknown) in the series. We conclude that gastric banding is a simple and safe gastric restrictive operation that is effective in about 50% of patients weighing between 90-181 kg (BMI 33-69 kg/m2).
本文报告了1981年至1985年间接受胃束带手术的174例病态肥胖患者（132例女性）的五年随访情况。术前平均体重为122.6±1.4kg（标准误）（体重指数（BMI）=41.8±0.4kg/m²），平均超重73.2±1.6%。在最初六个月体重快速下降后，体重趋于平稳，在12至18个月时达到最低点。12个月时平均体重减轻36.5±1.2kg（BMI=29.1±0.4kg/m²）。60个月时BMI增至32.3±0.6kg/m²（与12个月和24个月时相比，P<0.05）。60个月时平均超重为33.5±2.4%，47.5%的患者超重保持在30%以下。男女之间相对体重减轻没有差异，术后60个月时12mm或15mm吻合口直径之间也没有差异。术后早期并发症发生在25例患者（14.4%）中，其中4例需要再次手术。这些再次手术中有3例是因穿孔，其中1例死亡。48例患者（28%）共发生60例晚期并发症，需要26次再次手术（14.9%）。该系列中共有4例死亡（1例明显无关，1例原因不明）。我们得出结论，胃束带手术是一种简单安全的胃限制性手术，对体重在90 - 181kg（BMI 33 - 69kg/m²）之间的约50%的患者有效。
