Busetto L, Pisent C, Segato G, De Marchi F, Favretti F, Lise M, Enzi G
Department of Internal Medicine, University of Padova, Italy.
Obes Surg. 1997 Dec;7(6):505-12. doi: 10.1381/096089297765555269.
To evaluate the effects of a new timing strategy of band adjustment on the short-term outcome of obese women operated with adjustable silicone gastric banding.
The outcome of 30 women without binge-eating disorder operated with laparoscopic adjustable silicone gastric banding with a wider intraoperatory band calibration (LAP-BAND) was compared to that of 30 body mass index-matched women without binge-eating disorder previously operated with adjustable silicone gastric banding (ASGB) applied by laparotomy with the usual intraoperatory band calibration. The patients were evaluated 3, 6 and 12 months after surgery.
(1) weight loss; (2) total daily energy intake; (3) percent as liquid, soft or solid food; (4) vomiting frequency; (5) rate of postoperative percutaneous band adjustments; (6) rate of band-related complications.
Both the weight loss and the daily energy intake did not differ between patients with LAP-BAND and patients with ASGB. After surgery, the patients with LAP-BAND ate more solid food and less liquid food than the patients with ASGB. Vomiting frequency was higher in patients with ASGB than in patients with LAP-BAND. The total number of percutaneous band adjustments was higher in women with LAP-BAND than in women with ASGB. Band inflation because of weight stabilization was performed in six (20.0%) women with ASGB and in 19 (63.3%) women with LAP-BAND. Neostoma stenosis occurred in one woman with ASGB, but in none of the women with LAP-BAND. One patient with LAP-BAND presented band slippage.
The wider intraoperatory band calibration performed in patients with LAP-BAND did not reduce the short-term efficacy of adjustable silicone gastric banding. This new timing strategy of band adjustment required more postoperative percutaneous band inflations, but it improved the eating pattern of the patients (low vomiting frequency and high intake of solid food).
评估一种新的束带调整时机策略对接受可调节硅胶胃束带手术的肥胖女性短期结局的影响。
将30例无暴饮暴食症且接受腹腔镜可调节硅胶胃束带手术（LAP-BAND）且术中束带校准范围更宽的女性的结局，与30例体重指数匹配且无暴饮暴食症、之前接受剖腹手术应用可调节硅胶胃束带（ASGB）且采用常规术中束带校准的女性的结局进行比较。在术后3个月、6个月和12个月对患者进行评估。
（1）体重减轻情况；（2）每日总能量摄入；（3）流食、软食或固体食物所占百分比；（4）呕吐频率；（5）术后经皮束带调整率；（6）束带相关并发症发生率。
LAP-BAND组患者与ASGB组患者的体重减轻情况和每日能量摄入均无差异。术后，LAP-BAND组患者比ASGB组患者摄入更多的固体食物和更少的流食。ASGB组患者的呕吐频率高于LAP-BAND组患者。LAP-BAND组女性经皮束带调整的总数高于ASGB组女性。6例（20.0%）ASGB组女性和19例（63.3%）LAP-BAND组女性因体重稳定进行了束带充气。1例ASGB组女性出现新造口狭窄，但LAP-BAND组女性均未出现。1例LAP-BAND组患者出现束带滑脱。
LAP-BAND组患者术中进行的更宽束带校准并未降低可调节硅胶胃束带的短期疗效。这种新的束带调整时机策略需要更多的术后经皮束带充气，但改善了患者的饮食模式（呕吐频率低且固体食物摄入量高）。
