Zorrilla P G, Salinas R J, Salinas-Martinez A M
Center for the Surgical Treatment of Severe Obesity, Hidalgo Medical Center, Monterrey, Mexico.
Obes Surg. 1997 Aug;7(4):322-5. doi: 10.1381/096089297765555557.
Different surgical alternatives for the treatment of severe obesity have been described. The two most common surgical procedures are the Vertical Banded Gastroplasty (VBG) and the Roux-en-Y Gastric Bypass (GBP).
This work describes the results seen during the first 12 months after a surgical technique named Vertical Banded Gastroplasty-Gastric Bypass on 221 Mexican patients with severe obesity operated on between March 1993 and August 1996.
73.3% of the patients were female with an average age of 33.4 years with a standard deviation (SD) of 10 years. The initial mean overweight was 62.2 kg (SD = 26.5 kg). The percentage of ideal weight was 202.3% (SD = 39.4%). The initial body mass index (BMI) was 44.9 kg/m2 (SD = 9.1). The average of excess weight loss in a year was 81.2% (SD = 15.6%) and the BMI was lowered to 26.7 kg/m2 (SD = 5.9). An interesting finding was that the greater the initial overweight, the lesser the resulting weight loss (r = 0.57, P < 0.001).
The procedure was fairly easy to perform. The results were excellent in terms of weight loss and postoperative complications. It is an early experience and the long-term results are still inconclusive; regular check-ups should indicate the procedure's long-term effectiveness.
已描述了治疗重度肥胖的不同手术方法。两种最常见的手术是垂直束带胃成形术（VBG）和 Roux-en-Y 胃旁路术（GBP）。
本研究描述了 1993 年 3 月至 1996 年 8 月期间对 221 例墨西哥重度肥胖患者实施一种名为垂直束带胃成形术 - 胃旁路术的手术技术后前 12 个月的观察结果。
73.3%的患者为女性，平均年龄 33.4 岁，标准差（SD）为 10 岁。初始平均超重 62.2 千克（SD = 26.5 千克）。理想体重百分比为 202.3%（SD = 39.4%）。初始体重指数（BMI）为 44.9 千克/平方米（SD = 9.1）。一年中平均体重减轻百分比为 81.2%（SD = 15.6%），BMI 降至 26.7 千克/平方米（SD = 5.9）。一个有趣的发现是，初始超重越多，最终体重减轻越少（r = 0.57，P < 0.001）。
该手术操作相对容易。在体重减轻和术后并发症方面效果极佳。这是一项早期经验，长期结果仍无定论；定期检查应能表明该手术的长期有效性。
