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[垂直胃成形术作为病态肥胖的一种治疗方法]

[Vertical gastroplasty as a treatment method in morbid obesity].

作者信息

Iashkov Iu I, Oppel' T A, Timoshin A D, Movchun A A, Voskresenskiĭ O V

出版信息

Khirurgiia (Mosk). 1998(6):72-6.

PMID:9680809
Abstract

Since November 1992 in the RRCS. RAMS 38 patients aged 16-61 years (mean body mass 149.9 kg) for obesity of 3-4 grade underwent operation of vertical gastroplasty (VGP) by E. Mason's method. In 78.9% of patients uncomplicated course of early postoperative period was observed. One patient died due to thromboembolism of pulmonary artery. Two patients underwent regastroplasty due to tearing away of the staples of vertical mechanical suture and restoration of body mass (BM). Up to now stabilization of BM was detected in 19 patients. In this group mean values of surplus BM lowering made up 54.1% and maximal--60.1%. Positive influence of performed operations on the course of majority of the concomitant diseases in the absence of serious metabolic after-effects was observed. Initial results of operations seemed to be favourable, but for final conclusions about the effectiveness of VGP in far off period the accumulation of the experience and prolongation of follow-up period together with standardization of operation procedure are necessary.

摘要

自1992年11月起,在俄罗斯外科研究与临床学会(RRCS),对38例年龄在16至61岁(平均体重149.9千克)的3至4级肥胖患者采用E. 梅森(E. Mason)法进行了垂直胃成形术(VGP)。78.9%的患者术后早期过程无并发症。1例患者死于肺动脉血栓栓塞。2例患者因垂直机械缝合钉撕裂和体重(BM)恢复而接受了再次胃成形术。截至目前,19例患者体重稳定。该组中多余体重降低的平均值为54.1%,最大降低值为60.1%。观察到所施行的手术对大多数伴发疾病的病程有积极影响,且无严重代谢后遗症。手术的初步结果似乎是有利的,但要对VGP在远期的有效性得出最终结论,需要积累经验、延长随访期并规范手术操作。

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