Stoner J, Stoner P, Sytsma J
Davenport Medical Center, Iowa, USA.
Obes Surg. 1997 Dec;7(6):513-5. doi: 10.1381/096089297765555278.
The authors review preliminary experience with silastic ring vertical gastroplasty (SRVG).
Of 202 patients who underwent SRVG, 191 are more than 3 months postoperation and of these 165 were accessible for review.
Pouch volume could not be readily measured. The TA90BN stapler was occasionally difficult to apply exactly at the angle of His. There was one subphrenic abscess, one gastric bleed, and one dehiscence. Vomiting occurred in eight patients who required reoperation: ring removal, three; cholecystectomy, one; conversion to vertical banded gastroplasty, one; conversion to Roux-en-Y gastric bypass, three. There was no mortality. Weight loss has been satisfactory to 42 months.
SRVG has been a relatively simple operation, with acceptable morbidity and weight loss thus far.
作者回顾了硅橡胶环垂直胃成形术（SRVG）的初步经验。
在接受SRVG的202例患者中，191例术后超过3个月，其中165例可进行复查。
袋状胃容积难以准确测量。TA90BN吻合器有时难以在His角精确应用。发生1例膈下脓肿、1例胃出血和1例裂开。8例患者出现呕吐，其中3例需要再次手术取出环；1例行胆囊切除术；1例改为垂直束带胃成形术；3例改为Roux-en-Y胃旁路术。无死亡病例。至42个月时体重减轻情况令人满意。
迄今为止，SRVG是一种相对简单的手术，发病率可接受，体重减轻效果良好。
