Niville E, Vankeirsbilck J, Dams A, Anne T
Department of Abdominal Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium.
Obes Surg. 1998 Feb;8(1):39-43. doi: 10.1381/096089298765555033.
Laparoscopic adjustable gastric banding is an efficient surgical method in the treatment of morbid obesity. In order to reduce the number of complications, we have modified the technique to what we term 'laparoscopic adjustable esophagogastric banding'.
Between December 1994 and July 1997, 126 laparoscopic adjustable banding procedures were carried out. Of these, 40 underwent a gastric banding operation (group 1), and 86 underwent an esophagogastric banding procedure (group 2).
The percentage loss of excess body weight curve was less rapid in group 2 compared to group 1 due to a different strategy in band filling. Follow-up to date shows that no problems with the pouch or the stoma have arisen in the esophagogastric banding group.
Laparoscopic adjustable esophagogastric banding is a simpler and safer procedure than laparoscopic adjustable gastric banding. It also works as a very efficient anti-reflux procedure, at least in the short term. It appears to be equally efficient as a weight-reducing operation as gastric banding. Further follow-up of the patients involved is necessary in order to evaluate the results in the longer term.
腹腔镜可调节胃束带术是治疗病态肥胖的一种有效手术方法。为了减少并发症的数量，我们对该技术进行了改良，称之为“腹腔镜可调节食管胃束带术”。
1994年12月至1997年7月期间，共进行了126例腹腔镜可调节束带手术。其中，40例行胃束带手术（第1组），86例行食管胃束带手术（第2组）。
由于束带填充策略不同，第2组的超重体重减轻百分比曲线比第1组慢。迄今为止的随访表明，食管胃束带组未出现胃囊或吻合口问题。
腹腔镜可调节食管胃束带术比腹腔镜可调节胃束带术更简单、更安全。至少在短期内，它也是一种非常有效的抗反流手术。它作为一种减肥手术似乎与胃束带术同样有效。为了评估长期效果，有必要对相关患者进行进一步随访。
