Lecomte P, Marmuse J P
Hôpital Bichat, Service de Chirurgie Générale, Paris.
J Chir (Paris). 1996 Jul;133(5):226-8.
Among the various procedures used for surgical treatment of morbid obesity, the adjustable silicone gastric banding is in full development. It is also a gastric restrictive procedure and in addition it enables to adjust percutaneously the size of the stoma by inflating or deflating the inflatable portion of the band via an injection reservoir placed within the rectus sheath. In a small serie of 15 patients the efficacity of adjustable silicone gastric banding seems to be similar to that of the vertical banded gastroplasty, as far as weight reduction and improvement in the obesity associated comorbidity are concerned. In addition, this technique has two major advantages: absence of failure from staple line disruption, and a good food tolerance because the stoma size is adjustable to the patient's need. In contrast to other gastroplasties, the adjustable silicone gastric banding procedure is fully reversible after cutting the prothesis, and can be done under laparoscopy.
在用于病态肥胖症手术治疗的各种手术方法中，可调节硅胶胃束带术正处于全面发展阶段。它也是一种胃限制性手术，此外，通过位于腹直肌鞘内的注射储液器对束带的可充气部分进行充气或放气，能够经皮调节造口大小。在一个由15名患者组成的小样本系列中，就体重减轻和肥胖相关合并症的改善而言，可调节硅胶胃束带术的疗效似乎与垂直带状胃成形术相似。此外，该技术有两个主要优点：不存在吻合口破裂导致的失败情况，并且由于造口大小可根据患者需求进行调节，食物耐受性良好。与其他胃成形术不同，可调节硅胶胃束带术在切断假体后完全可逆，并且可以在腹腔镜下进行。
